Jiang Chuhan, Lv Xianli, Li Youxiang, Liu Aihua, Wu Zhongxue
Beijing Neurosurgical institute; Beijing, the People's Republic of China -
Neuroradiol J. 2007 Dec 31;20(6):718-25. doi: 10.1177/197140090702000617.
Previous treatments for cavernous dural arteriovenous fistulas (DAVF) include transarterial embolization with NBCA and transvenous embolization with platinum coils. This paper presents two cases of cavernous sinus dural arterial venous fistula successfully treated via a transvenous approach with Onyx. Case 1. A 54-year-old man presented with blepharotosis, diplopia and chemosis. Cerebral angiography demonstrated a cavernous DAVF, which was successfully treated via inferior petrosal sinus with a combination of Onyx and platinum coils. Case 2. A 36-year-old woman was admitted after incomplete transarterial embolization of a dural cavernous fistula. The patien's symptoms resolved almost completely after embolization with Onyx-34 via the superior ophthalmic vein. To our knowledge, only two such cases have been reported in the literature. The advantages of Onyx make it an attractive alternative to the various platinum coils already described.
既往海绵窦硬脑膜动静脉瘘（DAVF）的治疗方法包括使用NBCA进行经动脉栓塞和使用铂金线圈进行经静脉栓塞。本文介绍了两例通过使用Onyx经静脉途径成功治疗的海绵窦硬脑膜动静脉瘘病例。病例1。一名54岁男性，出现上睑下垂、复视和结膜水肿。脑血管造影显示为海绵窦DAVF，通过岩下窦联合使用Onyx和铂金线圈成功治疗。病例2。一名36岁女性在硬脑膜海绵窦瘘经动脉栓塞不完全后入院。经眼上静脉使用Onyx - 34栓塞后，患者症状几乎完全缓解。据我们所知，文献中仅报道过两例此类病例。Onyx的优点使其成为已描述的各种铂金线圈的有吸引力的替代方案。
