Therapeutic embolization of cavernous sinus dural arteriovenous fistulas via |
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Authors: | Hou Kai Luo Qi Chen Qiang Wang Honglei Luo Yinan Wang Changkun |
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Affiliation: | Department of Neurosurgery, First Affiliated Hospital, Jilin University, Changchun 130021, China;Department of Neurosurgery, First Affiliated Hospital, Jilin University, Changchun 130021, China;Department of Neurosurgery, First Affiliated Hospital, Jilin University, Changchun 130021, China;Department of Neurosurgery, First Affiliated Hospital, Jilin University, Changchun 130021, China;Department of Neurosurgery, First Affiliated Hospital, Jilin University, Changchun 130021, China;Department of Neurosurgery, First Affiliated Hospital, Jilin University, Changchun 130021, China |
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Abstract: | OBJECTIVE: To describe the transvenous catheterization technique for the treatment of cavernous sinus dural arteriovenous fistulas (CSdAVFs), including its indications, complications and efficacy. METHODS: 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. RESULTS: 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. CONCLUSION: Transvenous embolization is a useful and safe approach in the management of CSdAVFs. |
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Keywords: | cavernous sinus dural arteriovenous fistula therapeutic embolization |
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