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Year : 2021  |  Volume : 16  |  Issue : 3  |  Page : 610-613

Transvenous embolization of cavernous sinus dural arteriovenous fistula through the angiographically occlusive superior ophthalmic vein

1 Department of Neurosurgery, Nishichita General Hospital, Tokai, Aichi, Japan
2 Department of Neurosurgery, Fujita Health University, Toyoake, Japan

Correspondence Address:
Dr. Shigeta Moriya
Department of Neurosurgery, Nishichita General Hospital, 3-1-1, Nakanoike, Tokai, Aichi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_71_21

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Transvenous embolization (TVE) through the superior ophthalmic vein (SOV) is a useful approach for the treatment of cavernous sinus (CS) dural arteriovenous fistulae (DAVFs). This venous route is usually confirmed by angiography. Herein, we present a case of favorable embolization of the CS DAVF through the angiographically occlusive SOV. A 61-year-old man presented with progressive exophthalmos and hypertonia. The patient was diagnosed with a CS DAVF, and TVE was planned. The first approach through the inferior petrosal sinus was infeasible; therefore, we attempted to approach the fistula through the left facial vein. The microcatheter was easily advanced to the shunt point through the angiographically occlusive SOV. We performed coil embolization, and the CS DAVF was completely obstructed.

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