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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleNeurointervention

Cavernous Sinus Dural Fistulae Treated by Transvenous Approach through the Facial Vein: Report of Seven Cases and Review of the Literature

Alessandra Biondi, Dan Milea, Christophe Cognard, Giuseppe K. Ricciardi, Fabrice Bonneville and Rémy van Effenterre
American Journal of Neuroradiology June 2003, 24 (6) 1240-1246;
Alessandra Biondi
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Dan Milea
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Christophe Cognard
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Giuseppe K. Ricciardi
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Fabrice Bonneville
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Rémy van Effenterre
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    Fig 1.

    Dural AVF of the right cavernous sinus in a 45-year-old woman.

    A, Lateral view angiogram of the right common artery, obtained before embolization, shows a dural AVF. The inferior petrosal sinus is thrombosed at the level of its inferior portion.

    B, Oblique view angiogram of the internal carotid artery, obtained before embolization, shows a dural AVF with predominant venous drainage toward the SOV and facial vein (arrow).

    C, Anteroposterior view angiogram of the external carotid artery, obtained before embolization, shows a dural AVF with predominant venous drainage toward the SOV.

    D, Lateral view road map, obtained by injecting the internal carotid artery, shows intermediate steps of the retrograde catheterization through the facial vein up to the cavernous sinus. The tip of the microcatheter is in the angular vein. Facial vein (thick arrow), angular vein (short thin arrow), SOV inferior root (double arrows), SOV superior root (long thin arrow).

    E, Oblique view road map, obtained by injecting the external carotid artery, shows that the microcatheter (with the microguidewire) is in the angular vein before the SOV superior root, which is elongated and dilated. Facial vein (thick arrow), angular vein (short thin arrow), SOV inferior root (double arrows), SOV superior root (long thin arrow).

    F, Lateral view road map, obtained by injecting the internal carotid artery, shows intermediate steps of the retrograde catheterization through the facial vein up to the cavernous sinus. The microcatheter reaches the posterior part of the cavernous sinus, while the microguidewire is pushed up to the thrombosed inferior petrosal sinus.

    G, After positioning of coils within the cavernous sinus, lateral view angiogram of the right internal carotid artery shows complete occlusion of the dural fistula.

    H, After positioning of coils within the cavernous sinus, lateral view angiogram of the external carotid artery shows complete occlusion of the dural fistula.

  • Fig 2.
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    Fig 2.

    Schematic drawing of the venous system connecting the facial vein and the cavernous sinus. Facial vein (thick arrow), angular vein (short thin arrow), SOV inferior root (double arrows), SOV superior root (long thin arrow).

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American Journal of Neuroradiology: 24 (6)
American Journal of Neuroradiology
Vol. 24, Issue 6
1 Jun 2003
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Alessandra Biondi, Dan Milea, Christophe Cognard, Giuseppe K. Ricciardi, Fabrice Bonneville, Rémy van Effenterre
Cavernous Sinus Dural Fistulae Treated by Transvenous Approach through the Facial Vein: Report of Seven Cases and Review of the Literature
American Journal of Neuroradiology Jun 2003, 24 (6) 1240-1246;

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Cavernous Sinus Dural Fistulae Treated by Transvenous Approach through the Facial Vein: Report of Seven Cases and Review of the Literature
Alessandra Biondi, Dan Milea, Christophe Cognard, Giuseppe K. Ricciardi, Fabrice Bonneville, Rémy van Effenterre
American Journal of Neuroradiology Jun 2003, 24 (6) 1240-1246;
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Cited By...

  • Cavernous Sinus Dural Arteriovenous Fistula: Treatment via the Transfemoral Transfacial Route
  • Endovascular Management of Intracranial Dural AVFs: Transvenous Approach
  • Intraprocedural Flat Panel Detector Rotational Angiography and an Image Fusion Technique for Delivery of a Microcatheter into the Targeted Shunt Pouch of a Dural Arteriovenous Fistula
  • Imaging-Guided Superior Ophthalmic Vein Access for Embolization of Dural Carotid Cavernous Fistulas: Report of 20 Cases and Review of the Literature
  • Intracranial Dural Arteriovenous Fistulae: Clinical Presentation and Management Strategies
  • Surgical access on the superior ophthalmic vein to the cavernous sinus dural fistula for embolization
  • Treatment of a traumatic carotid-cavernous fistula by the sole use of a flow diverting stent
  • A Safe and Efficacious Alternative: Sonographically Guided Internal Jugular Vein Puncture for Intracranial Endovascular Intervention
  • Transvenous Embolization of Intracranial Dural Arteriovenous Shunts through Occluded Venous Segments: Experience in 51 Patients
  • Complications Related to Percutaneous Transarterial Embolization of Intracranial Dural Arteriovenous Fistulas in 40 Patients
  • Diagnosis and treatment of dural carotid-cavernous fistulas: a consecutive series of 27 patients
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