PT  - JOURNAL ARTICLE
AU  - Botsford, Alex
AU  - Shankar, Jai Jai Shiva
TI  - DSA-Dynavision in pretreatment planning for coil embolization of indirect carotid–cavernous fistula
AID  - 10.1136/neurintsurg-2016-012632
DP  - 2017 Apr 01
TA  - Journal of NeuroInterventional Surgery
PG  - 389--393
VI  - 9
IP  - 4
4099  - http://jnis.bmj.com/content/9/4/389.short
4100  - http://jnis.bmj.com/content/9/4/389.full
SO  - J NeuroIntervent Surg2017 Apr 01; 9
AB  - Introduction Indirect carotid cavernous fistulas are treated with coil embolization when they present with orbital/visual symptoms or if there is cortical venous reflux. Most of the time, the treatment is done by non-specifically packing the whole cavernous sinus with coils. The purpose of this case series was to examine whether DSA-Dynavision before embolization would improve treatment by shortening the procedure time, requiring fewer coils, or reducing the complication rate.Materials and method 8 patients with 9 fistula sites were retrospectively identified. DSA-Dynavision and non-DSA-Dynavision patients were compared in a retrospective cohort study.Results Mean total coil length was significantly shorter for the group who had DSA-Dynavision than for those who had non-DSA-Dynavision (130.5 cm vs 190 cm, p=0.034) and mean procedural time was significantly shorter for the DSA-Dynavision group (171.1 min vs 280.3 min, p=0.025). A transient neurological complication was seen in only one patient.Conclusions The use of DSA-Dynavision in pre-procedural planning facilitates selective coil embolization of the foot of the vein.