Therapeutic embolization of cavernous sinus dural arteriovenous fistulas via transvenous approach / 中华医学杂志(英文版)

ABSTRACT

<p><b>OBJECTIVE</b>To describe the transvenous catheterization technique for the treatment of cavernous sinus dural arteriovenous fistulas (CSdAVFs), including its indications, complications and efficacy.</p><p><b>METHODS</b>Eight patients with symptomatic CSdAVFs were treated by endovascular embolization with platinum coils, via the inferior petrosal sinus (IPS) in 6 patients, and via the Sylvian vein after surgical exposure in other 2 patients.</p><p><b>RESULTS</b>Complete angiographic resolution of the fistula was obtained in six patients immediately after the procedures, and a complete resolution of symptoms and signs was achieved in all patients. The residual fistulas in two patients disappeared completely in the follow-up angiography.</p><p><b>CONCLUSION</b>Transvenous embolization is a useful and safe approach in the management of CSdAVFs.</p>