Cavernous sinus fistula treated through the transvenous approach: Report of four cases

被引：11

作者：

Bing, F. ^{[1
]}

Albrieux, M. ^{[2
]}

Moreau-Gaudry, V. Vinh ^{[2
]}

Vasdev, A. ^{[1
]}

机构：

[1] CHU Grenoble, Serv Neuroradiol, F-38043 Grenoble 09, France

[2] CHU Grenoble, Serv Ophtalmol, F-38043 Grenoble, France

来源：

JOURNAL OF NEURORADIOLOGY | 2009年 / 36卷 / 05期

关键词：

Carotid cavernous fistula; Transvenous embolization; Superior ophthalmic vein; Inferior petrosal sinus; DURAL ARTERIOVENOUS-FISTULAS; SUPERIOR OPHTHALMIC VEIN; INFERIOR PETROSAL SINUS; OF-THE-LITERATURE; VENOUS DRAINAGE; LATEROCAVERNOUS SINUS; EMBOLIZATION; MALFORMATIONS; MANAGEMENT; CLASSIFICATION;

D O I：

10.1016/j.neurad.2009.01.002

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Purpose. - To describe transvenous embolization in four patients with indirect dural carotid cavernous fistulas (CCFs) via the inferior petrosal sinus (IPS) or superior ophthalmic vein (SOV), and their clinical outcomes. Methods. - The CCF approach was performed after retrograde venous catheterization from the femoral. vein to the cavernous sinus via the IPS (n = 1) or SOV (n = 3). SOV catheterization was possible without surgical intervention. All patients presented initially with typical clinical signs of CCE Patients treated via the SOV presented with thrombosis of the IPS. Results. - Catheterization and embolization were successful in all patients, with complete angiographic occlusion of the fistula. No early or late complications occurred. All patients presented with favorable clinical outcomes and complete recovery of ocular symptoms. Conclusion. - Retrograde transvenous embolization of CCF via the IPS, or SOV if the IPS is thrombosed, is a safe procedure with a good clinical outcome. (C) 2009 Elsevier Masson SAS. All rights reserved.

引用

页码：265 / 269

页数：5

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