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  • Republished: Successful treatment of direct carotid–cavernous fistula in a patient with Ehlers–Danlos syndrome type IV without arterial puncture: the transvenous triple-overlay embolization (TAILOREd) technique

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Hemorrhagic Stroke
Case report
Republished: Successful treatment of direct carotid–cavernous fistula in a patient with Ehlers–Danlos syndrome type IV without arterial puncture: the transvenous triple-overlay embolization (TAILOREd) technique
  1. Thien J Huynh1,
  2. Ryan P Morton2,
  3. Levitt Michael R.1,3,
  4. Basavaraj V. Ghodke1,2,
  5. Onno Wink4,
  6. Danial K. Hallam1,2
  1. 1 Department of Radiology, University of Washington, Seattle, Washington, USA
  2. 2 Department of Neurological Surgery, University of Washington, Seattle, Washington, USA
  3. 3 Mechanical Engineering, University of Washington, Seattle, Washington, USA
  4. 4 Philips Healthcare, Bothell, Washington, USA
  1. Correspondence to Danial K. Hallam, Department of Radiology, University of Washington, Harborview Medical Center, Seattle, WA 98104, USA; dhallam{at}uw.edu

Abstract

We report successful transvenous treatment of direct carotid–cavernous fistula in a patient with Ehlers–Danlos syndrome type IV using a novel triple-overlay embolization (TAILOREd) technique without the need for arterial puncture, which is known to be highly risky in this patient group. The TAILOREd technique allowed for successful treatment using preoperative MR angiography as a three-dimensional overlay roadmap combined with cone beam CT and live fluoroscopy, precluding the need for an arterial puncture.

  • fistula
  • technique
  • navigation
  • intervention
  • magnetic resonance angiography

https://doi.org/10.1136/neurintsurg-2017-013052.rep

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    Footnotes

    • Contributors All authors contributed to the planning and study design, writing and editing the manuscript.