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  • Transvenous embosurgery of a left sigmoid sinus dural arteriovenous fistula via a retrograde approach from the superior ophthalmic vein, cavernous and inferior petrosal sinuses

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Transvenous embosurgery of a left sigmoid sinus dural arteriovenous fistula via a retrograde approach from the superior ophthalmic vein, cavernous and inferior petrosal sinuses
  1. D V Patel1,
  2. R Rangaswamy1,3,4,
  3. W S Lesley1,2,3,4,
  4. J L Hester1,
  5. D K McDonald1,5,
  6. J H Tsai6
  1. 1Department of Radiology, Texas A&M University Health Science Center College of Medicine, Scott and White Clinic, Temple, Texas, USA
  2. 2Department of Surgery, Texas A&M University Health Science Center College of Medicine, Scott and White Clinic, Temple, Texas, USA
  3. 3Department of Neurosurgery, Texas A&M University Health Science Center College of Medicine, Scott and White Clinic, Temple, Texas, USA
  4. 4Division of Neuroradiology, Section of Neurointerventional Surgery, Texas A&M University Health Science Center College of Medicine, Scott and White Clinic, Temple, Texas, USA
  5. 5Section of Interventional Radiology, Texas A&M University Health Science Center College of Medicine, Scott and White Clinic, Temple, Texas, USA
  6. 6Department of Ophthalmology, Texas A&M University Health Science Center College of Medicine, Scott and White Clinic, Temple, Texas, USA
  1. Correspondence to Dr W S Lesley, Texas A&M University Science Center College of Medicine, Scott and White Clinic, Suite 2X, Temple, Texas 76502, USA; wlesley{at}swmail.sw.org

Abstract

The efficacy and safety of transvenous embosurgery for sigmoid sinus dural arteriovenous fistula (DAVF) using the internal jugular vein approach is well known. Embosurgery of cavernous sinus DAVF has also been described utilizing a superior ophthalmic vein approach. The first report of a sigmoid sinus DAVF endosurgical repair via a superior ophthalmic vein approach in a patient without internal jugular vein access is presented.

https://doi.org/10.1136/jnis.2010.003848

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    Footnotes

    • Presented at the Association of University Radiologists Annual Meeting, San Diego, CA, March 2010.

    • Competing interests None.

    • Patient consent Detail has been removed from this case description/these case descriptions to ensure anonymity. The editors and reviewers have been the detailed information avaliable and are satisfied that the information backs up the case authors are making.

    • Provenance and peer review Not commissioned; externally peer reviewed.