Prochazka V, Cizek V, Kacirova R
Center of Vascular Interventions,Vítkovice Hospital of Blessed Marie Antonina j.s., Ostrava; Czech Republic -
Interv Neuroradiol. 2004 Mar 14;10(1):69-74. doi: 10.1177/159101990401000109. Epub 2004 Oct 22.
We report on the endovascular treatment of the spontaneous indirect dural carotid cavernous sinus type D fistula in a 60-year-old woman, in whom ipsilateral facial, angular and superior ophthalmic veins catheterization was performed to get access to the fistula site for embolization treatment. Approach via the facial vein is helpful after inferior petrosal sinus treatment failure. Although this technique requires caution in the angular vein region it allows a safe and effective treatment of these lesions. 3D rotational digital angiography can obtain more information of the angioarchitecture of the cavernous plexus and venous outflow for the catheter navigation.