論文

査読有り
2011年12月10日

Cavernous sinus dural arteriovenous fistulas treated with percutaneous transvenous embolization using liquid material: Two case reports

Neurological Surgery
  • Masafumi Hiramatsu
  • ,
  • Kenji Sugiu
  • ,
  • Koji Tokunaga
  • ,
  • Ayumi Nishida
  • ,
  • Mitsuo Kuriyama
  • ,
  • Tomohide Maeshiro
  • ,
  • Kaoru Terasaka
  • ,
  • Isao Date

39
12
開始ページ
1189
終了ページ
1196
記述言語
日本語
掲載種別
研究論文(学術雑誌)

Introduction: Percutaneous transvenous embolization (TVE) using coils is a well-established treatment of cavernous sinus dural arteriovenous fistula (CSdAVF). However, it is sometimes difficult to achieve complete occlusion by coil embolization. In these two cases, we were able to obtain complete angiographic obliteration of the fistulas without complications by means of percutaneous TVE using n-butyl-cyanoacrylate (NBCA) after we failed when TVE using coils. Case 1: An 89-year-old woman presented with double vision. She was diagnosed as Barrow type D right CSdAVF draining only to the cortical vein. We treated the patient by TVE using coils, but the microcatheter was withdrawn before complete occlusion was attained. The repositioning of the microcatheter was difficult, so we used 30% NBCA for TVE, and obtained complete obliteration of the fistula. Case 2: An 87-year-old woman presented with right exophthalmos, and chemosis. She was diagnosed as Barrow type C right CSdAVF draining only to the right superior ophthalmic vein with very slow flow. We planned to treat her, using TVE with coils, but we could place only 3 coils and obtained only partial obliteration of the fistula. So we additionally used 25% NBCA for TVE, and obtained complete obliteration of the fistula. Conclusion: Compared to TVE using coils, TVE using NBCA gives rise to many problems, but, we can use NBCA as a second option if TVE using coils results in only partial obliteration as in these cases.

リンク情報
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/22128275
ID情報
  • ISSN : 0301-2603
  • PubMed ID : 22128275
  • SCOPUS ID : 84455171524

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