Document Detail


Successful transarterial embolization of a Barrow type D dural carotid-cavernous fistula with ethylene vinyl alcohol copolymer (Onyx).
MedLine Citation:
PMID:  19458568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endovascular occlusion via the transvenous route is the favored treatment method for dural carotid-cavernous fistulas (CCFs). Ethylene vinyl alcohol copolymer (Onyx), recently approved for treatment of arteriovenous malformations, has advantages over conventional liquid embolic agents in its nonadhesive nature, which allows for longer injections with decreased risk of catheter retention. We report the use of Onyx in the successful transarterial embolization of a dural CCF fed by arterial branches of the internal and external carotid arteries (Barrow type D) after multiple failed attempts to access the cavernous sinus transvenously. Transarterial Onyx embolization could be a valuable option in transarterial treatment of CCFs when venous access is difficult.
Authors:
Dheeraj Gandhi; Sameer A Ansari; Wayne T Cornblath
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society     Volume:  29     ISSN:  1536-5166     ISO Abbreviation:  J Neuroophthalmol     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-05-21     Completed Date:  2009-08-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431308     Medline TA:  J Neuroophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  9-12     Citation Subset:  IM    
Affiliation:
Department of Radiology, Division of Interventional Neuroradiology (DG), Johns Hopkins University, Baltimore, Maryland 21287, USA. dgandhi2@jhmi.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Carotid Artery, External / abnormalities,  radiography
Carotid Artery, Internal / abnormalities,  radiography
Carotid-Cavernous Sinus Fistula / radiography,  therapy*
Central Nervous System Vascular Malformations / radiography,  therapy*
Cerebral Angiography
Dimethyl Sulfoxide / therapeutic use*
Embolization, Therapeutic / methods*
Female
Humans
Polyvinyls / therapeutic use*
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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