Transorbital Puncture for the Treatment of Cavernous Sinus Dural Arteriovenous Fistulas

• Published in: American Journal of Neuroradiology Vol. 28; no. 7; pp. 1415 - 1417
• Main Authors: White, J.B, Layton, K.F, Evans, A.J, Tong, F.C, Jensen, M.E, Kallmes, D.F, Dion, J.E, Cloft, H.J
• Format: Journal Article
• Language: English
• Published: Oak Brook, IL Am Soc Neuroradiology 01.08.2007; American Society of Neuroradiology
• Subjects: Aged, 80 and over; Biological and medical sciences; Cavernous Sinus - abnormalities; Central Nervous System Vascular Malformations - therapy; Dura Mater - abnormalities; Dura Mater - blood supply; Dura Mater - surgery; Embolization, Therapeutic - methods; Female; Humans; Interventional; Investigative techniques, diagnostic techniques (general aspects); Male; Medical sciences; Nervous system; Orbit - surgery; Punctures - methods; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Treatment Outcome; Cavernous sinus; Nervous system diseases; Radiodiagnosis; Cardiovascular disease; Congenital disease; Venous disease; Arterial disease; Vascular disease; Arteriovenous aneurysm; Treatment; Transorbital; Puncture; Arteriovenous malformation; Dural sinus
• ISSN: 0195-6108; 1936-959X; 1432-1920
• DOI: 10.3174/ajnr.A0663

This report describes a series of patients for whom dural arteriovenous fistulae (DAVFs) of the cavernous sinus were successfully embolized using a percutaneous, transorbital technique to directly cannulate the cavernous sinus. A vascular access needle and catheter are percutaneously advanced along the inferolateral aspect of the orbit to access the cavernous sinus via the superior orbital fissure. Safe and effective embolization is achieved without the need for a surgical cut-down.