Transvenous onyx embolization of a direct carotid-cavernous fistula via the prevertebral vein at the level of the atlanto-occipital membrane: Technical note
Restricted accessCase reportFirst published online October, 2023
Transvenous onyx embolization of a direct carotid-cavernous fistula via the prevertebral vein at the level of the atlanto-occipital membrane: Technical note
The inferior petrosal sinus (IPS) is the most commonly used transvenous approach to obliterate the carotid-cavernous fistula (CCF). We presented a case of direct CCF was successfully embolized through contralateral jugular vein via the prevertebral vein at the level of the atlanto-occipital membrane. Because of the confluence of the caudal end of the IPS and the prevertebral vein at the medial side of the hypoglossal canal, the transvenous route through the ipsilateral jugular vein was failed. Transcirculation approach via the prevertebral vein at the level of the atlanto-occipital membrane seems to be the choice when venous access is available.
CognardCGobinYPPierotL, et al.Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology1995; 194(3): 671–680.
2.
ZhangHZhuKWangJ, et al.The use of a new classification in endovascular treatment of dural arteriovenous fistulas. Neuroscience Informatics; 2022(2): 100047. DOI: 10.1016/j.neuri.2022.100047.
3.
LuoCBChangFCTengMM. Update of embolization of intracranial dural arteriovenous fistula. J Chin Med Assoc2014; 77(12): 610–617.
4.
LvXWuZ. Anatomic variations of internal jugular vein, inferior petrosal sinus and its confluence pattern: implications in inferior petrosal sinus catheterization. Interv Neuroradiol2015; 21(6): 769–773.
5.
BenndorfGBenderALehmannR, et al.Transvenous occlusion of dural cavernous sinus fistulas through the thrombosed inferior petrosal sinus: report of four cases and review of the literature. Surg Neurol2000; 54(1): 42–54.
6.
RhimJKChoYDParkJJ, et al.Endovascular treatment of cavernous sinus dural arteriovenous fistula with ipsilateral inferior petrosal sinus occlusion: a single-center experience. Neurosurgery2015; 77(2): 192–199.
7.
LvXJiangCLiY, et al.Percutaneous transvenous packing of cavernous sinus with Onyx for cavernous dural arteriovenous fistula. Eur J Radiol2009; 71: 356–362.
8.
KawamuraYTakigawaTHyodoA, et al.Transvenous embolisation via an occluded inferior petrosal sinus for cavernous sinus dural arteriovenous fistulas. Neurol Neurochir Pol2020; 54(6): 585–588.
9.
JiangCLvXLiY, et al.Surgical access on the superior ophthalmic vein to the cavernous sinus dural fistula for embolization. J Neurointerv Surg2013; 5(3): e13.
10.
MatsumotoAOkauchiMShindoA, et al.Cavernous sinus dural arteriovenous fistula treated by facial vein direct puncture: case report and review of the literature. Interv Neuroradiol2017; 23(3): 301–306.
11.
LuoCBChangFCTengMM, et al.Transvenous embolization of cavernous sinus dural arteriovenous fistula via angiographic occlusive inferior petrous sinus. J Chin Med Assoc2015; 78(9): 526–532.
12.
YamadaHMizutaniKAkiyamaT, et al.Extracranial prevertebral venous network of the craniocervical junction: CT-digital subtraction venography analysis. Neuroradiology2022. Epub ahead of print. PMID: 35596067. DOI: 10.1007/s00234-022-02980-3
13.
SpittauBMillánDSEl-SherifiS, et al.Dural arteriovenous fistulas of the hypoglossal canal: systematic review on imaging anatomy, clinical findings, and endovascular management. J Neurosurg2015; 122(4): 883–903.
14.
JiangCLv XLiY, et al.Transvenous embolization of cavernous sinus dural arteriovenous fistula with Onyx-18 and plentinum coils: Technical Note. Neuroradiol J2007; 20(3): 47–52.
15.
LvXJiangCLiY, et al.Recovery of opthalmoplegia associated with cavernous sinus dural arteriovenous fistulas after transvenous cavernous sinus packing. Eur J Radiol2010; 75: 139–142.
