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Transvenous embolisation via an occluded inferior petrosal sinus for cavernous sinus dural arteriovenous fistulas
Affiliations- Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Japan
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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.
Keywords
cavernous sinus dural arteriovenous fistulas, occluded inferior petrosal sinus, external auditory canal, guidewire
About this articleTitle
Transvenous embolisation via an occluded inferior petrosal sinus for cavernous sinus dural arteriovenous fistulas
Journal
Neurologia i Neurochirurgia Polska
Issue
Article type
Technical Note
Pages
585-588
Published online
2020-10-07
Page views
1234
Article views/downloads
473
DOI
Pubmed
Bibliographic record
Neurol Neurochir Pol 2020;54(6):585-588.
Keywords
cavernous sinus dural arteriovenous fistulas
occluded inferior petrosal sinus
external auditory canal
guidewire
Authors
Yosuke Kawamura
Tomoji Takigawa
Akio Hyodo
Kensuke Suzuki
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