Document Detail


Management of direct carotid-cavernous sinus fistulas with the use of ethylene-vinyl alcohol (Onyx) only: preliminary results.
MedLine Citation:
PMID:  19663551     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: So-called direct carotid-cavernous fistulas (CCFs) are commonly treated by detachable balloons or coils to occlude the shunt while sparing the carotid artery. Liquid embolic agents have been rarely used, and in particular, to the authors' knowledge, the use of Onyx as the sole agent has never been reported in an indexed publication. METHODS: The authors describe a case series of 5 patients with posttraumatic CCF in whom embolization with Onyx was prospectively used as the sole strategy of management. RESULTS: Complete occlusion was obtained at the end of the procedure in 4 cases, and the lesion in the remaining patient subsequently occluded at the 6-month follow-up evaluation. CONCLUSIONS: As endovascular techniques for treatment of direct CCFs continue to evolve, this novel approach with Onyx as the sole embolic material seems promising in treating these lesions.
Authors:
Marco Zenteno; Jorge Santos-Franco; Vladimir Rodr?guez-Parra; Jorge Balderrama; Yolanda Aburto-Murrieta; Susana Vega-Montesinos; Angel Lee
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  112     ISSN:  1933-0693     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-02     Completed Date:  2010-04-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  595-602     Citation Subset:  AIM; IM    
Affiliation:
Departamento de Terapia Endovascular Neurol?gica, Instituto Nacional de Neurolog?a y Neurocirug?a, Universidad Nacional Aut?noma de M?xico, Mexico City, Mexico. mazente@yahoo.com.mx
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Angiography, Digital Subtraction
Carotid-Cavernous Sinus Fistula / etiology,  pathology,  therapy*
Cerebral Angiography
Cohort Studies
Craniocerebral Trauma / complications
Dimethyl Sulfoxide* / adverse effects
Embolization, Therapeutic / adverse effects,  methods*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Polyvinyls* / adverse effects
Prospective Studies
Time Factors
Treatment Outcome
Young Adult
Chemical
Reg. No./Substance:
0/Onyx copolymer; 0/Polyvinyls; 67-68-5/Dimethyl Sulfoxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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