Transvenous Embolization of Cavernous and Paracavernous Dural Arteriovenous Fistula through the Facial Vein: Report of 12 Cases

Kim, Do Young; Shin, Yong Sam; Ihn, Yon Kwon; Kim, Byung Moon; Yoon, Pyeong Ho; Oh, Seungjong; Kim, Bum Soo

doi:10.5469/neuroint.2013.8.1.15

Cited by 38 publications

(35 citation statements)

References 15 publications

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“…There were no significant periprocedural complications in our series and previously published series (2,6).…”

Section: Discussioncontrasting

confidence: 48%

“…Instead of this normal route (6,13), 16 FVs (62%) emptied directly into the EJV. These venous variations occurred at a higher rate in our series than in previously published series and sporadic observations and led to initial erroneous placement of the guiding catheter and microcatheter in the IJV for trans-FV embolization in our first 2 CCF cases (Figures 1 and 3).…”

Section: Discussionmentioning

confidence: 99%

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Anatomic Variation of Facial Vein in Carotid-Cavernous Fistula and Trans–Facial Vein Embolization

et al. 2015

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“…There were no significant periprocedural complications in our series and previously published series (2,6).…”

Section: Discussioncontrasting

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Anatomic Variation of Facial Vein in Carotid-Cavernous Fistula and Trans–Facial Vein Embolization

et al. 2015

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“…Direct percutaneous puncture of the cavernous sinus is also feasible and avoids the need for surgical cutdown [2]. In addition, Kim et al [6] described a successful approach through the facial vein in cases of nonaccessible IPS cavernous and paracavernous arteriovenous fistula [7]. Our patient recovered completely without any significant complications.…”

Section: Discussionmentioning

confidence: 81%

Intercavernous Sinus Dural Arteriovenous Fistula Treated with Transvenous Coil Embolization: A Case Report

et al. 2014

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The blood supply to the region of the cavernous sinus is provided by interconnecting branches of the internal and external carotid arteries, and it is from these vessels that dural arteriovenous fistulas (DAVFs) arise. It is very rare that DAVFs are located at the intercavernous sinuses region; in this case, a proper localization of the fistulous site is of extreme importance in order to successfully eliminate the disease. Here, we describe a case of a 65-year-old female with intercavernous sinus DAVF. A complete obliteration of the fistulous points was performed by coil embolization through a transvenous approach. i 2014 S. Karger AG, Basel

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“…6 The dura of the lesser wing of the sphenoid bone contains a sinus known as the lesser wing of the sphenoid sinus (LWSS) and was described by Wolf et al 30 in 1963. A study by Kim et al 8 reported on the treatment of a DAVF involving the LWSS, which connects medially with the anterior and superior aspect of the cavernous sinus. This connection between the cavernous sinus and the LWSS can have an acute angle that makes transvenous approaches, especially from the inferior petrosal sinus, difficult.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3]7,8,18,22,24,27,29 This region of the paracavernous venous plexus contains multiple dural sinuses, and the nomenclature varies between authors. Detailed knowledge of the venous drainage of the superficial middle cerebral vein (SMCV) can help to better understand the complicated venous anatomy of this area.…”

Section: Discussionmentioning

confidence: 99%

Integrated open surgical and endovascular embolization treatment of a paracavernous venous plexus fistula: case report

Dye

Buchanan²,

Gonzalez³

2015

JNS

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case report J Neurosurg 122:933-938, 2015 P aracavernous venous plexus fistulas are rare types of dural arteriovenous fistulas (DAVFs) that can mimic indirect carotid-cavernous fistulas (CCFs) in both imaging characteristics and clinical presentation. While similar to CCFs, their anatomical differences lead to differences in management. Key differences include the distinct patterns of venous drainage, which affect the options for endovascular access, and the actual location of the abnormal shunt. Both types of fistula may have drainage through the superior ophthalmic vein, the plexus of the foramen ovale to the pterygoid plexus, and/or the deep middle cerebral vein. However, unlike a CCF, the paracavernous venous plexus fistula does not drain directly through the inferior petrosal sinus, but rather it drains through the cavernous sinus. Because the fistulous connection resides in the paracavernous venous plexus and not in the cavernous sinus, embolization of the cavernous sinus does not treat the fistula and can endanger the patient by altering the drainage toward cerebral veins (Fig. 1). This anatomical difference in location and venous drainage can make these types of DAVFs very difficult to treat by endovascular interventions alone.In this report the authors describe the presentation, imaging findings, and integrated open surgery and endovascular embolization of a rare type of DAVF, a paracavernous venous plexus fistula. case report History and ExaminationA 66-year-old right-handed Asian man presented with a 2-year history of persistent right eye chemosis. He was initially evaluated by an ophthalmologist who prescribed steroid eye drops, resulting in mild temporary improvement. However, the symptoms recurred and persisted. He reported right-sided occipital region headaches occurring approximately 3 times per week and mild right orbital proptosis. At presentation, he denied eye pain, recent change in his visual acuity, double vision, photophobia, nausea, and neck stiffness. On examination, he was found to have right eye chemosis, proptosis, and an orbital bruit. His right eye intraocular pressure was measured at 19 mm Hg. His visual fields were full to confrontation. Brain MRI/ MR angiography revealed mild right proptosis without obvious prominence of the right cavernous sinus or enlargement of the right superior ophthalmic vein. Cerebral angiography demonstrated an arteriovenous shunt of the right paracavernous venous plexus (Fig. 2). The fistula was fed by meningeal branches of a dilated inferolateral trunk, the right accessory meningeal artery, and the artery of the foramen rotundum. There was early filling of the left cavernous sinus across the intercavernous sinus. The venous drainage of the fistula was predominantly through the abbreviatioNs CCF = carotid-cavernous fistula; CTA = CT angiography; DAVF = dural arteriovenous fistula; ICA = internal carotid artery; LCS = laterocavernous sinus; LWSS = lesser wing of the sphenoid sinus; SMCV = superficial middle cerebral vein. The authors report the treatment ...

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Transvenous Embolization of Cavernous and Paracavernous Dural Arteriovenous Fistula through the Facial Vein: Report of 12 Cases

Cited by 38 publications

References 15 publications

Anatomic Variation of Facial Vein in Carotid-Cavernous Fistula and Trans–Facial Vein Embolization

Anatomic Variation of Facial Vein in Carotid-Cavernous Fistula and Trans–Facial Vein Embolization

Intercavernous Sinus Dural Arteriovenous Fistula Treated with Transvenous Coil Embolization: A Case Report

Integrated open surgical and endovascular embolization treatment of a paracavernous venous plexus fistula: case report

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