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CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(03): 610-613
DOI: 10.4103/ajns.AJNS_71_21
Case Report

Transvenous embolization of cavernous sinus dural arteriovenous fistula through the angiographically occlusive superior ophthalmic vein

Shigeta Moriya
Department of Neurosurgery, Nishichita General Hospital, Tokai, Aichi
,
Shingo Maeda
Department of Neurosurgery, Nishichita General Hospital, Tokai, Aichi
,
Motoharu Hayakawa
1   Department of Neurosurgery, Fujita Health University, Toyoake
,
Kiyonori Kuwahara
Department of Neurosurgery, Nishichita General Hospital, Tokai, Aichi
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Transvenous embolization (TVE) through the superior ophthalmic vein (SOV) is a useful approach for the treatment of cavernous sinus (CS) dural arteriovenous fistulae (DAVFs). This venous route is usually confirmed by angiography. Herein, we present a case of favorable embolization of the CS DAVF through the angiographically occlusive SOV. A 61-year-old man presented with progressive exophthalmos and hypertonia. The patient was diagnosed with a CS DAVF, and TVE was planned. The first approach through the inferior petrosal sinus was infeasible; therefore, we attempted to approach the fistula through the left facial vein. The microcatheter was easily advanced to the shunt point through the angiographically occlusive SOV. We performed coil embolization, and the CS DAVF was completely obstructed.

Key-words:

Angiography - cavernous sinus dural arteriovenous fistula - exophthalmos - facial vein - superior ophthalmic vein - transvenous embolization

Financial support and sponsorship

Nil.




Publication History

Received: 19 February 2021

Accepted: 10 April 2021

Article published online:
16 August 2022

© 2021. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Hiramatsu M, Sugiu K, Hishikawa T, Haruma J, Tokunaga K, Date I, et al. Epidemiology of dural arteriovenous fistula in japan: Analysis of Japanese registry of neuroendovascular therapy (jr-net2). Neurol Med Chir 2014;54:63-73.
  • 2 Klisch J, Huppertz HJ, Spetzger U, Hetzel A, Seeger W, Schumacher M. Transvenous treatment of carotid cavernous and dural arteriovenous fistulae: Results for 31 patients and review of the literature. Neurosurgery 2003;53:836-56.
  • 3 Yu SC, Cheng HK, Wong GK, Chan CM, Cheung JY, Poon WS. Transvenous embolization of dural carotid-cavernous fistulae with transfacial catheterization through the superior ophthalmic vein. Neurosurgery 2007;60:1032-7.
  • 4 Terada T, Higashida RT, Halbach VV, Dowd CF, Tsuura M, Komai N, et al. Development of acquired arteriovenous fistulas in rats due to venous hypertension. J Neurosurg 1994;80:884-9.
  • 5 Kojima T, Miyachi S, Sahara Y, Nakai K, Okamoto T, Hattori K, et al. The relationship between venous hypertension and expression of vascular endothelial growth factor: Hemodynamic and immunohistochemical examination in a rat venous hypertension model. Surg Neurol 2007;68:277-84.
  • 6 Al‒Shahi R, Bhattacharya JJ, Currie DG, Papanastassiou V, Ritchie V, Roberts RC, et al. Scottish intracranial vascular malformation study collaborators: Prospective, population‒based detection of intracranial vascular malformations in adults: The scottish intracranial vascular malformation study (SIVMS). Stroke 2003;34:1163-9.
  • 7 Piippo A, Niemelä M, van Popta J, Kangasniemi M, Rinne J, Jääskeläinen JE, et al. Characteristics and long-term outcome of 251 patients with dural arteriovenous fistulas in a defined population. J Neurosurg 2013;118:923-34.
  • 8 Kuwayama N. Epidemiologic survey of dural arteriovenous fistulas in Japan: Clinical frequency and present status of treatment. Acta Neurochir Suppl 2016;123:185-8.
  • 9 Lucas CP, Zabramski JM, Spetzler RF, Jacobowitz R. Treatment for intracranial dural arteriovenous malformations: A meta-analysis from the English language literature. Neurosurgery 1997;40:1119-30.
  • 10 Kirsch M, Henkes H, Liebig T, Weber W, Esser J, Golik S, et al. Endovascular management of dural carotid-cavernous sinus fistulas in 141 patients. Neuroradiology 2006;48:486-90.
  • 11 Satomi J, Satoh K, Matsubara T, Nakajima N, Nagahiro S, et al. Angiofraphic changes in venous drainage of cavernous sinus dural arteriovenous fistulae after palliative transarterial embolization or observational management: A proposed stage classification. Nerurosurgery 2005;56:494-502.