Embolization of a Cavernous Sinus Dural Arteriovenous Fistula with Onyx via Direct Puncture of the Cavernous Sinus through the Superior Orbital Fissure Asystole Resulting from the Trigeminocardiac Reflex a Case Report
Treatment of cavernous sinus dural arteriovenous fistula (CSDAVF) may be challenging. We describe a patient who had presented with progressive ocular symptoms due to CSDAVF requiring urgent interventional therapy. Initial attempts to embolize the fistula utilizing a transvenous approach through the...
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Published in | Interventional neuroradiology Vol. 15; no. 2; pp. 179 - 184 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
London, England
SAGE Publications
01.06.2009
Centauro S.r.l |
Subjects | |
Online Access | Get full text |
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Summary: | Treatment of cavernous sinus dural arteriovenous fistula (CSDAVF) may be challenging. We describe a patient who had presented with progressive ocular symptoms due to CSDAVF requiring urgent interventional therapy. Initial attempts to embolize the fistula utilizing a transvenous approach through the inferior petrosal sinus failed because of difficult anatomy. Successful occlusion of the fistula was subsequently achieved with injection of ethylene vinyl alcohol copolymer, Onyx (EV3 Neurovascular, Irvine, CA, USA), via direct percutaneous puncture of the cavernous sinus through the superior orbital fissure. A brief period of asystole during the initial injection of Onyx may be the result of the trigeminocardiac reflex. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Nana Amiridze, MD, PhD - Assistant Professor - Department of Diagnostic Radiology and Nuclear Medicine - University of Maryland School of Medicine - 22 S. Greene St. Baltimore, MD 21201 - E-mail: amiridzen@umm.edu |
ISSN: | 1591-0199 2385-2011 |
DOI: | 10.1177/159101990901500207 |