Indirect carotid-cavernous sinus fistula: Transvenous embolization from the external jugular vein using a superior ophthalmic vein approach. A case report

Komiyama, Masaki; Morikawa, Kazuhiro; Fu, Yoshihiko; Yagura, Hajime; Yasui, Toshihiro; Baba, Mitsuru

doi:10.1016/0090-3019(90)90227-g

Cited by 26 publications

(8 citation statements)

References 13 publications

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“…Also, it is important to choose a microcatheter with a soft tip profile. To the best of our knowledge, the TVE of dCCFs through the supraorbital vein has been reported only three cases in the literature 2)5)11)…”

Section: Discussionmentioning

confidence: 99%

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Transvenous Embolization of Dural Carotid Cavernous Fistula through the Supraorbital Vein

Han

Kim

Kang

et al. 1970

J Cerebrovasc Endovasc Neurosurg

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We describe a case of transvenous embolization through the dilated supraorbital vein to treat a dural carotid cavernous fistula. The approach through the common facial vein or direct access of the superior ophthalmic vein is a commonly used route to the superior ophthalmic vein when the approach via the inferior petrosal sinus is unavailable. In rare cases, the dilated supraorbital vein provides an alternative route and we discuss the technical details.

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Section: Discussionmentioning

confidence: 99%

“…Alternative route include the pterygoid plexus, the superior petrosal sinus, the common facial vein, and direct access of the superior ophthalmic vein 4)10)12)13). In addition, the dilated supraorbital vein provides an alternative route to the superior ophthalmic vein but is rarely reported 2)5)11)…”

Section: Introductionmentioning

confidence: 99%

Transvenous Embolization of Dural Carotid Cavernous Fistula through the Supraorbital Vein

Han

Kim

Kang

et al. 1970

J Cerebrovasc Endovasc Neurosurg

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“…Regarding TVE via the STV, some reports have described direct puncture of the STV and puncture of the EJV. 13,14 We identified only 6 cases of TVE from the common femoral vein via the STV; [15][16][17] the CS was accessed via the ipsilateral STV in 3 cases (including the present case), the contralateral STV in 2 cases, and the CFV in 1 case ( Table 1). In all these cases, TVE was performed without complications and resulted in improvement of symptoms.…”

Section: A B Figmentioning

confidence: 99%

Use of a superficial temporal vein approach for transvenous embolization of a cavernous sinus dural arteriovenous fistula: a case report

Ishii

Hayashi

Sato

et al. 2015

JNET

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Objective: The inferior petrosal sinus (IPS) provides the best access route to the cavernous sinus in transvenous embolization (TVE) of cavernous sinus dural arteriovenous fistula (CS-dAVF). However, some cases require other access routes. We describe a case of CS-dAVF successfully treated with TVE via the superficial temporal vein (STV) from the common femoral vein. Case presentation: The patient was an 82-year-old woman with conjunctival hyperemia and exophthalmos of the left eye due to a left CS-dAVF. A cerebral angiogram showed that the IPS had occluded and the superior ophthalmic vein, middle temporal vein (MTV), and STV had dilated as the main drainer. We had planned to reach the CS via the IPS but were forced to abandon that route because it was not possible to guide the microcatheter into the CS. We therefore attempted to use the STV for access. On the first attempt, we had difficulty in inserting the microcatheter through the tortuous section between the MTV and STV. We were able to achieve passage with manual progress by epidermal compression. Finally, we successfully guided the microcatheter to the shunted pouch and targeted embolization was performed. Conclusion: Accessing the CS via the STV can be an option when TVE via the IPS is not possible in a patient with CS-dAVF.

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“…37 4. Retrograde catheterization via superior ophthalmic vein 45 5. Retrograde catheterization via pterygoid plexus 46 6.…”

Section: Transvenous Embolizationmentioning

confidence: 99%

Intracranial Arteriovenous Fistulas: Approaches to Endovascular Treatment

Willing¹

2003

Semin intervent Radiol

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Arteriovenous fistulas of the head and neck include an assortment of conditions. Many, if not most, can be cured using a variety of endovascular techniques. Extracranial fistulas are usually traumatic in origin. Intracranial fistulas may be either traumatic or spontaneous and may be classified according to flow (high or low), pathology (direct or indirect), location, or patterns of supply and drainage. In this article we will focus on acquired intracranial arteriovenous fistulas and review the clinical presentation, classification schemes, history of treatment, and current approaches to treatment, focusing on endovascular approaches.Objectives: On completion of this article, the reader will be able to (1) correctly classify acquired arteriovenous fistulas of the cerebral vasculature, (2) identify which patients having fistulas are candidates for endovascular therapy, and (3) understand the potential benefits and risks of endovascular therapy. Accreditation: Tufts University School of Medicine (TUSM) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. TUSM takes responsibility for the content, quality, and scientific integrity of this CME activity. Credit: TUSM designates this educational activity for a maximum of 1 Category 1 credit towards the AMA Physicians Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.Arteriovenous fistulas of the head and neck encompass a variety of clinicoanatomic conditions with diverse clinical manifestations and a plethora of treatment options. For the neurointerventionalist, they can be challenging but also gratifying to treat. As opposed to arteriovenous malformations, fistulas can frequently be cured by endovascular means, and, for the most common types, endovascular treatment is the primary treatment of choice. ANGIOGRAPHIC EVALUATIONExcept in rare instances, the angiographic work-up should include bilateral vertebral, internal carotid, and external carotid artery (ECA) biplane injections for a total of six vessels. Each type of lesion, however, presents its own set of special considerations that should affect how the angiographic evaluation is conducted. Ideally, the initial angiographic work-up should be sufficient to both establish a diagnosis and plan therapy. In most cases, if a patient has had a diagnostic arteriogram that is incomplete from a planning perspective, the exam can be completed at the time of intervention, sparing the patient a third procedure.The objectives of the initial angiogram are to (1) establish a diagnosis and locate the fistula, (2) identify all feeding arteries, (3) fully describe the venous drainage, and (4) identify normal patterns of cerebral venous drainage.Downloaded by: WEST VIRGINIA UNIVERSITY. Copyrighted material.

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Indirect carotid-cavernous sinus fistula: Transvenous embolization from the external jugular vein using a superior ophthalmic vein approach. A case report

Cited by 26 publications

References 13 publications

Transvenous Embolization of Dural Carotid Cavernous Fistula through the Supraorbital Vein

Transvenous Embolization of Dural Carotid Cavernous Fistula through the Supraorbital Vein

Use of a superficial temporal vein approach for transvenous embolization of a cavernous sinus dural arteriovenous fistula: a case report

Intracranial Arteriovenous Fistulas: Approaches to Endovascular Treatment

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