Transvenous Embolization of Dural Carotid Cavernous Fistulas: A Series of 44 Consecutive Patients

Yoshida, Kensaku; Melake, Mostafa Saleh; Oishi, Hidenori; Yamamoto, Munetaka; Arai, Hajime

doi:10.3174/ajnr.a1882

Cited by 113 publications

(108 citation statements)

References 22 publications

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“…5,17,42,52,88 This is demonstrated both clinically by reversal of the signs and symptoms of the CCF and angiographically by fistula obliteration with reversal of retrograde cortical venous flow and vascular steal. In a series of more than 200 patients presenting with posttraumatic direct CCFs, Higashida et al 26 reported complete fistula occlusion with preservation of the ICA in 88% of patients.…”

Section: 48mentioning

confidence: 99%

Carotid-cavernous fistulas

Ellis¹,

Goldstein²,

Connolly³

et al. 2012

FOC

268

326

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Carotid-cavernous fistulas (CCFs) are vascular shunts allowing blood to flow from the carotid artery into the cavernous sinus. The characteristic clinical features seen in patients with CCFs are the sequelae of hemodynamic dysfunction within the cavernous sinus. Once routinely treated with open surgical procedures, including carotid ligation or trapping and cavernous sinus exploration, endovascular therapy is now the treatment modality of choice in many cases. The authors provide a review of CCFs, detailing the current classification and clinical management of these lesions. Therapeutic options including conservative management, open surgery, endovascular intervention, and radiosurgical therapy are presented. The complications and treatment results as reported in the contemporary literature are also reviewed.

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Section: 48mentioning

confidence: 99%

Carotid-cavernous fistulas

Ellis¹,

Goldstein²,

Connolly³

et al. 2012

FOC

268

326

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“…Permanent complications have been reported in 4%-7% of cases. [53][54][55] Despite these risks, TVE can be a safe and effective procedure for many DAVFs and can be used as an adjunct to TAE for a complete cure.…”

Section: Taementioning

confidence: 99%

“…53 The rates of complete angiographic fistula ablation by TVE have been reported at 71%-87.5%. [53][54][55] The risks of TVE include vessel perforation, infarction, intracranial hemorrhage, and transient or permanent neurologic deficits related to changes in venous drainage course. 55,56 Transient ophthalmoplegia has been reported in 14% of cavernous sinus embolizations, 55 but patients typically have a full recovery.…”

Section: Taementioning

confidence: 99%

Intracranial Dural Arteriovenous Fistulas: Classification, Imaging Findings, and Treatment

Gandhi

Chen

Pearl

et al. 2012

AJNR Am J Neuroradiol

359

417

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SUMMARY:Intracranial DAVFs are pathologic dural-based shunts and account for 10%-15% of all intracranial arteriovenous malformations. These malformations derive their arterial supply primarily from meningeal vessels, and the venous drainage is either via dural venous sinuses or through the cortical veins. DAVFs have a reported association with dural sinus thrombosis, venous hypertension, previous craniotomy, and trauma, though many lesions are idiopathic. The diagnosis is dependent on a high level of clinical suspicion and high-resolution imaging. Cross-sectional imaging techniques by using CT and MR imaging aid in the diagnosis, but conventional angiography remains the most accurate method for complete characterization and classification of DAVFs. The pattern of venous drainage observed on dynamic vascular imaging determines the type of DAVF and correlates with the severity of symptoms and the risk of hemorrhage.ABBREVIATIONS: CVD ϭ cortical venous drainage; DAVF ϭ dural arteriovenous fistula; DMSO ϭ dimethyl-sulfoxide; FPCT ϭ flat panel detector CT; n-BCA ϭ n-butyl 2-cyanoacrylate; NHND ϭ non-hemorrhagic neurologic deficit; SRS ϭ stereotactic radiosurgery; TAE ϭ transarterial embolization; TVE ϭ transvenous embolization

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“…Rates of complete fistula obliteration by this technique are high, with reported ranges of 71% to 87%. [68][69][70][71] Specific risks include venous infarction and dural sinus perforation. 1,66 DAVF involving the cavernous sinus are particularly amenable to transvenous embolization, with high rates of successful lesion closure.…”

Section: Transvenous Embolizationmentioning

confidence: 99%

Intracranial Dural Arteriovenous Fistulae

Miller,

Gandhi

2015

Stroke

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Transvenous Embolization of Dural Carotid Cavernous Fistulas: A Series of 44 Consecutive Patients

Abstract: BACKGROUND AND PURPOSE: Endovascular TVE for DCCF is used for curative purposes, but serious complications can be caused with inadequate embolization. Our aim was to report clinical characteristics, angiographic findings, and results of endovascular TVE in patients presenting with DCCF.

Cited by 113 publications

References 22 publications

Carotid-cavernous fistulas

Carotid-cavernous fistulas

Intracranial Dural Arteriovenous Fistulas: Classification, Imaging Findings, and Treatment

Intracranial Dural Arteriovenous Fistulae

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