Journal of Neuroendovascular Therapy
Online ISSN : 2186-2494
Print ISSN : 1882-4072
ISSN-L : 1882-4072
Case Reports
Transarterial embolization with coils via accessory meningeal artery for the cavernous sinus dural arteriovenous fistula: a case report
Toshihiro YAMAUCHIYorio KOGUCHIIichiro MATSUURAYusuke KIJIMAMitsuhiro AIKAWAKoji SUZUKIAkihiro MIYATAShigeki KOBAYASHI
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JOURNAL OPEN ACCESS

2015 Volume 9 Issue 1 Pages 31-36

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Abstract
Objective: We hereby report a rare case of Barrow type B cavernous sinus dural arteriovenous fistula (CSdAVF) thatwas treated by coiling the affected sinus through a trans-arterially placed microcatheter via the ipsilateral accessorymeningeal artery (AMA).
Case presentation: A 75-year-old man presented with chemosis and exophthalmos on his left eye. The patient didnot have a previous medical history of head trauma. Left external carotid artery angiogram revealed a CSdAVF withtwo feeders, the accessory meningeal artery and artery of foramen rotundum. Retrograde venous drainage was seen tothe ipsilateral superior orbital and deep middle cerebral veins. During the intervention, a microcatheter was advancedbeyond the fistula into the cavernous sinus through the large AMA. The microcatheter was easily manipulated in thesinus and packing of the sinus was achieved with coils.
Conclusion: A rare case of CSdAVF treated by trans-arterial coiling via the AMA is reported. The trans-arterialapproach to the cavernous sinus may be an unexpected option and should be considered in case with limited access tothe sinus.
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© 2015 The Japanese Society for Neuroendovascular Therapy

This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.
https://creativecommons.org/licenses/by-nc-nd/4.0/
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