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Middle temporal vein access for transvenous embolization of Cavernous sinus dural arteriovenous fistula: A case report and review of literature

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Author(s)
Su-Chel KimJae-Hyun KimChang-Hyun KimChang-Young Lee
Keimyung Author(s)
Kim, Chang HyunLee, Chang Young
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
J Cerebrovasc Endovasc Neurosurg
Issued Date
2022
Volume
24
Issue
1
Keyword
Carotid-cavernous arteriovenous fistulaCavernous sinusEndovascular treatmentMiddle temporal vein
Abstract
Transvenous endovascular treatment is the first choice for treating most cavernous sinus dural arteriovenous fistulas (CDAVFs). Among several available venous routes, the inferior petrosal sinus is the most commonly used. We report a case of CDAVF treated with endovascular treatment via the middle temporal vein (MTV). A 65-year-old man presented with unilateral chemosis and exophthalmos for approximately two months. Digital subtraction angiography showed a right CDAVF with predominant venous drainage toward the right superior ophthalmic vein. The superior ophthalmic vein primarily drained into the dilated MTV. Both sides of the inferior petrosal sinus were occluded; therefore, transvenous embolization was performed via the MTV route. The fistula was completely obliterated. The patient's symptoms improved and the postoperative course was uneventful. The transfemoral approach via the MTV to treat CDAVF provides a crucial alternative when other venous routes are difficult or impossible to navigate with a catheter.
Keimyung Author(s)(Kor)
김창현
이창영
Publisher
School of Medicine (의과대학)
Citation
Su-Chel Kim et al. (2022). Middle temporal vein access for transvenous embolization of Cavernous sinus dural arteriovenous fistula: A case report and review of literature. J Cerebrovasc Endovasc Neurosurg, 24(1), 44–50. doi: 10.7461/jcen.2021.E2021.06.008
Type
Article
ISSN
2287-3139
Source
https://www.the-jcen.org/journal/view.php?year=2022&vol=24&spage=44
DOI
10.7461/jcen.2021.E2021.06.008
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44038
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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