Embolization Method for Cavernous Sinus Fistula within the Cavernous Sinus

Abstract

The complications of dural and direct cavernous sinus fistula (CCF) arise mainly from the specific venous route. However, embolization at an inappropriate site within the cavernous sinus (CS) is also a major factor. Therefore, we first diagrammed the surrounding structures of the CS to elucidate the specificity of the venous routes. Next, we divided the inside structure of the CS into four compartments, to examine orifices at which part we can start embolization with the least danger of causing complications when we have to embolize them within the CS. We obtained findings which will be useful to prevent complications such as subarachnoid haemorrhage, glaucoma, central retinal vein thrombosis and marked neurological impairment.

Keywords

surrounding structures of cavernous sinus carotid cavernous sinus fistula three-dimension

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References

Usami

Abe

: Classification of venous route of carotid cavernous sinus fistula. In: Negoro M: Interventional Neuroradiology 3 (Suppl 2): 93–96, 1997.

Brassel

Wappenschmidt

: Criteria for the diffrentiation of high-, moderate-, and low-flow carotid-cavernous sinus fistulas and their treatment with balloon catheters. In: Dolenc

: The Cavernous Sinus, Springer-Verlag, Wien. New York 1987: 205–210.

Debrun

Lacou

: Treatment of 54 traumatic carotid-covernous fistulas. J Neurosurg 55: 678–692, 1981.

Debrun

: Angiographic workup of a carotid cavernous sinus fistula (CCF) or what information does the interventionalist need for treatment? Surg Neurol 44: 75–79, 1995.