A new transvenous approach to the carotid-cavernous sinus via the inferior petrooccipital vein

被引:17
作者
Kurata, Akira [1 ]
Suzuki, Sachio [1 ]
Iwamoto, Kazuhisa [1 ]
Nakahara, Kuniaki [1 ]
Inukai, Madoka [1 ]
Niki, June [1 ]
Satou, Kimitoshi [1 ]
Yamada, Masaru [1 ]
Fujii, Kiyotaka [1 ]
Kan, Shinichi [2 ]
Katsuta, Toshiro [3 ]
机构
[1] Kitasato Univ, Sch Med, Dept Neurosurg, Sagamihara, Kanagawa 2288555, Japan
[2] Kitasato Univ, Sch Med, Dept Radiol, Sagamihara, Kanagawa 2288555, Japan
[3] Kitakyushu Municipal Med Ctr, Dept Neurosurg, Fukuoka, Japan
关键词
carotid-cavernous fistula; transvenous approach; endovascular surgery; inferior petrooccipital vein; pituitary surgery; interventional neurosurgery; surgical technique; DURAL ARTERIOVENOUS-FISTULA; PETROSAL SINUS; EMBOLIZATION; VENOGRAPHY;
D O I
10.3171/2011.4.JNS102155
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Object. The transvenous approach via the inferior petrosal sinus (IPS) is commonly used as the most appropriate for carotid-cavernous fistula (CCF) or cavernous sinus sampling. However, sometimes the IPS is not accessible because of anatomical problems and/or complications, therefore an alternative route is needed. In this paper, the authors present and discuss the utility of a transvenous approach to the cavernous sinus via the inferior petrooccipital vein. Methods. Four patients, 3 with dural CCFs and the other with Cushing disease, in whom endovascular surgical attempts failed using a conventional venous approach via the IPS, underwent a transvenous approach to the cavernous sinus via the inferior petrooccipital vein (IPOV). One dural CCF case had only cortical venous drainage, the second CCF also mainly drained into the cortical vein with slight inflow into the superior ophthalmic vein and inferior ophthalmic vein, and the third demonstrated drainage into the superior and inferior ophthalmic veins and IPOV. Results. In all cases, the cavernous sinus could be accessed successfully via this route and without complications. Conclusions. The transvenous approach to the cavernous sinus via the IPOV should be considered as an alternative in cases when use of the IPS is precluded by an anatomical problem and there are no other suitable venous approach routes. (DOI: 10.3171/2011.4.JNS102155)
引用
收藏
页码:581 / 587
页数:7
相关论文
共 18 条
[11]   TREATMENT OF CAROTID-CAVERNOUS SINUS FISTULAS USING A SUPERIOR OPHTHALMIC VEIN APPROACH [J].
MILLER, NR ;
MONSEIN, LH ;
DEBRUN, GM ;
TAMARGO, RJ ;
NAUTA, HJW .
JOURNAL OF NEUROSURGERY, 1995, 83 (05) :838-842
[12]   Morphologic evaluation of the caudal end of the inferior petrosal sinus using 3D rotational venography [J].
Mitsuhashi, Y. ;
Nishio, A. ;
Kawahara, S. ;
Ichinose, T. ;
Yamauchi, S. ;
Naruse, H. ;
Matsuoka, Y. ;
Ohata, K. ;
Hara, M. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2007, 28 (06) :1179-1184
[13]  
Mounayer C, 2002, AM J NEURORADIOL, V23, P1153
[14]   Complications associated with transvenous embolisation of cavernous dural arteriovenous fistula [J].
Oishi, H ;
Arai, H ;
Sato, K ;
Iizuka, Y .
ACTA NEUROCHIRURGICA, 1999, 141 (12) :1265-1271
[15]  
Ruíz DS, 2002, AM J NEURORADIOL, V23, P1500
[16]   CAVERNOUS SINUS VENOGRAPHY [J].
SHIU, PC ;
HANAFEE, WN ;
WILSON, GH ;
RAND, RW .
AMERICAN JOURNAL OF ROENTGENOLOGY RADIUM THERAPY AND NUCLEAR MEDICINE, 1968, 104 (01) :57-&
[17]   Cavernous sinus sampling in patients with adrenocorticotrophic hormone-dependent Cushing's syndrome with emphasis on inter- and intracavernous adrenocorticotrophic hormone gradients [J].
Teramoto, A ;
Yoshida, Y ;
Sanno, N ;
Nemoto, S .
JOURNAL OF NEUROSURGERY, 1998, 89 (05) :762-768
[18]   TRANSVENOUS EMBOLIZATION OF DURAL CAROTICOCAVERNOUS FISTULAS - TECHNICAL CONSIDERATIONS [J].
YAMASHITA, K ;
TAKI, W ;
NISHI, S ;
SADATO, A ;
NAKAHARA, I ;
KIKUCHI, H ;
YONEKAWA, Y .
NEURORADIOLOGY, 1993, 35 (06) :475-479