Document Detail


Triple coaxial catheter technique for transfacial superior ophthalmic vein approach for embolization of dural carotid-cavernous fistula.
MedLine Citation:
PMID:  20977858     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a triple coaxial catheter technique to facilitate the venous access to the superior ophthalmic vein during transvenous embolization of dural carotid-cavernous fistula (DCCF) via the transfacial venous route. Two patients with transvenous embolization of DCCFs by coils were treated with transfacial superior ophthalmic vein (SOV) approach by the triple coaxial catheter technique. The triple coaxial catheter system consisted of a 6F guiding catheter as the outer catheter and a 4F guiding catheter as the middle catheter and a microcatheter as the inner catheter to help navigation and manipulation. The DCCFs were completely obliterated in both cases. There were no complications associated with the procedure. The ophthalmic symptoms of the patients had totally resolved at two-month follow-up. The triple coaxial catheter technique can be used with the transfacial SOV approach in embolization of DCCF. This technique has two advantages over the double coaxial catheter technique because it offers additional length and support for the distal navigation of microcatheter into the SOV.
Authors:
M-H Yuen; K-M Cheng; Y-L Cheung; C-M Chan; S C H Yu; G K C Wong; W-S Poon
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-10-25
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  16     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-27     Completed Date:  2010-12-30     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  264-8     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Queen Elizabeth Hospital, Hong Kong, China. yuen_ming_him_1985@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Carotid-Cavernous Sinus Fistula / radiography,  therapy*
Catheterization / instrumentation*,  methods*
Catheters
Cerebral Angiography
Cerebral Veins
Embolization, Therapeutic / instrumentation*,  methods*
Eye / blood supply*
Humans
Male
Middle Aged
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