Transarterial embolisation of complex cavernous sinus dural arteriovenous fistulae with low-concentration cyanoacrylate
Journal
Neuroradiology
Journal Volume
42
Journal Issue
10
Pages
766-770
Date Issued
2000
Author(s)
Abstract
We report the effectiveness of low-concentration n-butyl-2-cyanoacrylate (NBCA)-Lipiodol-tungsten mixture (10-15%) in the management of patients with aggressive or recurrent complex cavernous dural arteriovenous fistulae (CSDAVF). We treated five patients with complex CSDAVF with a low concentration of an NBCA-Lipiodol-tungsten mixture after catheterisation of the feeding arteries arising from the external carotid artery. Three had a recurrent CSDAVF after transarterial particulate embolisation. Three refused transvenous treatment or could not be treated in this way; two patients had also feeding dural branches of the internal carotid artery. All patients had complete resolution of symptoms and signs within a month of the procedure. No definite neurological complication was found during follow-up ranging from 12 to 36 months. Transarterial embolisation with low-concentration cyanoacrylate appears to be an effective alternative management of aggressive or recurrent CSDAVF.
SDGs
Other Subjects
enbucrilate; ethiodized oil; tungsten; adult; angiography; arteriovenous fistula; article; artificial embolism; catheterization; cavernous sinus; clinical article; clinical trial; controlled clinical trial; controlled study; disease activity; dura mater; external carotid artery; female; follow up; human; internal carotid artery; male; neurological complication; priority journal; recurrent disease; surgical technique; symptomatology
Publisher
Springer Verlag
Type
journal article