Ahead of print
Technical notes
Published online: 2020-10-07
Submitted: 2020-05-21
Accepted: 2020-08-20
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Transvenous embolisation via an occluded inferior petrosal sinus for cavernous sinus dural arteriovenous fistulas

Yosuke Kawamura, Tomoji Takigawa, Akio Hyodo, Kensuke Suzuki
DOI: 10.5603/PJNNS.a2020.0071
·
Pubmed: 33026643

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Ahead of print
Technical notes
Published online: 2020-10-07
Submitted: 2020-05-21
Accepted: 2020-08-20

Abstract

Aim of the study: We retrospectively searched for cases of transvenous embolisation for cavernous sinus dural arteriovenous fistulas.

Materials and methods:
Twenty-five cases underwent transvenous embolisation via the inferior petrosal sinus (IPS). IPS was probed using a standard 0.035-inch guidewire for microcatheter navigation, which was successful in all cases.

Results: IPS was occluded in 17 cases (68%). Only one case experienced a complication, where the approach was changed to the contralateral side because of internal jugular vein injury. The relationship between the external auditory canal and the IPS route was reviewed in 18 cases using digital angiography (lateral view). The guidewire passed across, above, or below the external auditory canal in 10 (56%), six (33%), and two (11%) cases, respectively.

Clinical implications: No previous reports have analysed the relationship between the external auditory canal and the IPS route. We present a safe and successful technique for approaching the cavernous sinus via the IPS.

Abstract

Aim of the study: We retrospectively searched for cases of transvenous embolisation for cavernous sinus dural arteriovenous fistulas.

Materials and methods:
Twenty-five cases underwent transvenous embolisation via the inferior petrosal sinus (IPS). IPS was probed using a standard 0.035-inch guidewire for microcatheter navigation, which was successful in all cases.

Results: IPS was occluded in 17 cases (68%). Only one case experienced a complication, where the approach was changed to the contralateral side because of internal jugular vein injury. The relationship between the external auditory canal and the IPS route was reviewed in 18 cases using digital angiography (lateral view). The guidewire passed across, above, or below the external auditory canal in 10 (56%), six (33%), and two (11%) cases, respectively.

Clinical implications: No previous reports have analysed the relationship between the external auditory canal and the IPS route. We present a safe and successful technique for approaching the cavernous sinus via the IPS.

Get Citation

Keywords

cavernous sinus dural arteriovenous fistulas, occluded inferior petrosal sinus, external auditory canal, guidewire

About this article
Title

Transvenous embolisation via an occluded inferior petrosal sinus for cavernous sinus dural arteriovenous fistulas

Journal

Neurologia i Neurochirurgia Polska

Issue

Ahead of print

Published online

2020-10-07

DOI

10.5603/PJNNS.a2020.0071

Pubmed

33026643

Keywords

cavernous sinus dural arteriovenous fistulas
occluded inferior petrosal sinus
external auditory canal
guidewire

Authors

Yosuke Kawamura
Tomoji Takigawa
Akio Hyodo
Kensuke Suzuki

References (14)
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