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Transvenous embolisation via an occluded inferior petrosal sinus for cavernous sinus dural arteriovenous fistulas. 2020

Yosuke Kawamura, and Tomoji Takigawa, and Akio Hyodo, and Kensuke Suzuki
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Japan. yuzufuture1210@yahoo.co.jp.

OBJECTIVE We retrospectively searched for cases of transvenous embolisation for cavernous sinus dural arteriovenous fistulas. METHODS Twenty-five cases underwent transvenous embolisation via the inferior petrosal sinus (IPS). IPS was probed using a standard 0.035-inch guidewire for microcatheter navigation, which was successful in all cases. RESULTS IPS was occluded in 17 cases (68%). Only one case experienced a complication, where the approach was changed to the contralateral side because of internal jugular vein injury. The relationship between the external auditory canal and the IPS route was reviewed in 18 cases using digital angiography (lateral view). The guidewire passed across, above, or below the external auditory canal in 10 (56%), six (33%), and two (11%) cases, respectively. CONCLUSIONS No previous reports have analysed the relationship between the external auditory canal and the IPS route. We present a safe and successful technique for approaching the cavernous sinus via the IPS.

UI MeSH Term Description Entries
D007601 Jugular Veins Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins. Jugular Vein,Vein, Jugular,Veins, Jugular
D002426 Cavernous Sinus An irregularly shaped venous space in the dura mater at either side of the sphenoid bone. Sinus, Cavernous
D004621 Embolization, Therapeutic A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage. Embolotherapy,Therapeutic Embolization,Embolizations, Therapeutic,Embolotherapies,Therapeutic Embolizations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D020785 Central Nervous System Vascular Malformations Congenital, inherited, or acquired abnormalities involving ARTERIES; VEINS; or venous sinuses in the BRAIN; SPINAL CORD; and MENINGES. CNS Vascular Malformations,Congenital Vascular Malformations, Central Nervous System,Vascular Malformations, Brain,Vascular Malformations, Central Nervous System,Capillary Telangiectasia, Brain,Central Nervous System Congenital Vascular Malformations,Central Nervous System Vascular Anomalies,Cerebral Embryonic Artery, Persistent,Dural Arteriovenous Fistula,Embryonic Artery, Persistent, Cerebral,Persistent Cerebral Embryonic Artery,Pontine Capillary Telangiectasias,Vascular Anomalies, Central Nervous System,Vascular Malformations, Congenital, Nervous System,Arteriovenous Fistula, Dural,Arteriovenous Fistulas, Dural,Brain Capillary Telangiectasia,Brain Capillary Telangiectasias,Brain Vascular Malformation,Brain Vascular Malformations,CNS Vascular Malformation,Capillary Telangiectasia, Pontine,Capillary Telangiectasias, Brain,Capillary Telangiectasias, Pontine,Dural Arteriovenous Fistulas,Malformation, Brain Vascular,Malformation, CNS Vascular,Malformations, Brain Vascular,Malformations, CNS Vascular,Pontine Capillary Telangiectasia,Telangiectasia, Brain Capillary,Telangiectasia, Pontine Capillary,Telangiectasias, Brain Capillary,Telangiectasias, Pontine Capillary,Vascular Malformation, Brain,Vascular Malformation, CNS,Vascular Malformations, CNS

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