Endovascular treatment of cavernous sinus dural arteriovenous fistula using coils through venous approach. Report of 8 cases

Tran Anh Tuan1, Nguyen Thi Hoang Thao2, Le Hoang Kien1, Vu Dang Luu1, Pham Minh Thong1,
1 Bach Mai hospital
2 Central Eye Hospital

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Abstract

SUMMARY


Purpose: To analyze technical indication and result of endovascular treatment of cavernous sinus dural arteriovenous
fistulae using coils through venous approach
Material and methods: Eight patients were included in the retrospective study during the interval from 2/2012 to 7/2012.
All of them were diagnosed of complex cavernous sinus dural arteriovenous fistulae and embolized by coiling through venous approach. The degree’s occlusion was evaluated at the end of procedure. The clinical symptoms of pre and post embolization
were compared.
Results: All the patient have cavernous dural arterio-venous fistula (Barrow type D and Cognard type IIIc), in which three
cases were approached through facial vein, one case through superficial vein, and four cases through inferior or superior petrous sinus. DSA at the end of procedure showed complete occlusion all of them. Clinical symptoms, such as titinuos, exophthalmoses, and conjunctive edema were disappeared post embolization. One patient has internal strabismus as complication.
Conclusion: Using coils via venous approach for cavernous sinus DAVF’s treatment is safe and effective

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References

TÀI LIỆU THAM KHẢO
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