Percutaneous transorbital direct puncture to obliterate a cavernous sinus dural arteriovenous fistula.
J Neurointerv Surg
; 13(12): 1190, 2021 Dec.
Article
em En
| MEDLINE
| ID: mdl-33685982
ABSTRACT
Cavernous sinus dural arteriovenous fistulas (CS-DAVF) can have an indolent course, with insidious onset, but still showing a high likelihood of spontaneous resolution.1 Nevertheless, symptoms in a subset of patients evolve more rapidly, with malignant signs on imaging, warranting intervention.2 We report on a patient in his 40s presenting with redness and proptosis of the right eye, intermittent blurred vision and diplopia. Once ophthalmological examination revealed increased intraocular pressure and imaging showed cortical venous congestion, the decision was made to obliterate a CS-DAVF involving the posteromedial right cavernous sinus.Multiple arteries including branches of the ascending pharyngeal artery, occipital artery and bilateral meningohypophyseal trunks supplied the fistula. Once transarterial embolization was deemed unsafe and both inferior petrosal sinuses did not grant access to the right cavernous sinus, a direct puncture to the cavernous sinus was performed to successfully coil the involved compartments.3-5 The aid of DynaCT imaging and needle guidance software is emphasized (video 1). neurintsurg;13/12/1190/V1F1V1Video 1.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Seio Cavernoso
/
Malformações Vasculares do Sistema Nervoso Central
/
Embolização Terapêutica
Limite:
Humans
Idioma:
En
Revista:
J Neurointerv Surg
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos