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Neurointervention.  2024 Mar;19(1):39-44. 10.5469/neuroint.2023.00493.

Facilitated Retrograde Access via the Facial Vein for Transvenous Embolization of the Cavernous Sinus Dural Arteriovenous Fistula with Isolated Ophthalmic Venous Drainage

Affiliations
  • 1Department of Radiology, College of Medicine, Majmaah University, Al Majmaah, Saudi Arabia
  • 2Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

Abstract

Management of cavernous sinus dural arteriovenous fistula (CSDAVF) continues to present significant challenges, particularly when the inferior petrosal sinus is thrombosed, collapsed, or angiographically invisible. In this study, we introduce facilitated retrograde access via the facial vein, which is employed in the transvenous embolization of CSDAVF with isolated superior ophthalmic venous drainage. We also present illustrative cases and technical points.

Keyword

Cavernous sinus; Dural arteriovenous fistula; Embolization, therapeutic; Catheterization
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