Document Detail


Embolization of a Cavernous Sinus Dural Arteriovenous Fistula with Onyx via Direct Puncture of the Cavernous Sinus through the Superior Orbital Fissure: Asystole Resulting from the Trigeminocardiac Reflex. A Case Report.
MedLine Citation:
PMID:  20465896     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Treatment of cavernous sinus dural arteriovenous fistula (CSDAVF) may be challenging.We describe a patient who had presented with progressive ocular symptoms due to CSDAVF requiring urgent interventional therapy. Initial attempts to embolize the fistula utilizing a transvenous approach through the inferior petrosal sinus failed because of difficult anatomy. Successful occlusion of the fistula was subsequently achieved with injection of ethylene vinyl alcohol copolymer, Onyx (EV3 Neurovascular, Irvine, CA, USA), via direct percutaneous puncture of the cavernous sinus through the superior orbital fissure.A brief period of asystole during the initial injection of Onyx may be the result of the trigeminocardiac reflex.
Authors:
N Amiridze; G Zoarski; R Darwish; A Obuchowski; N Solovevchic
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Publication Detail:
Type:  Journal Article     Date:  2009-09-01
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  15     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2010-05-14     Completed Date:  2012-10-02     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  179-84     Citation Subset:  -    
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