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American Journal of Neuroradiology 27:1346-1349, June-July 2006
© 2006 American Society of Neuroradiology

Technical Note
INTERVENTIONAL

Transvenous Treatment of Spontaneous Dural Carotid-Cavernous Fistulas Using a Combination of Detachable Coils and Onyx

S. Suzuki, D.W. Lee, R. Jahan, G.R. Duckwiler and F. Viñuela

From the Division of Interventional Neuroradiology, Department of Radiological Sciences, UCLA School of Medicine, Los Angeles, Calif

Address correspondence to Shuichi Suzuki, MD, PhD, Division of Interventional Neuroradiology, Department of Radiological Sciences, UCLA School of Medicine, 10833 LeConte Avenue, Box 951721, Los Angeles, CA 90095-1721

SUMMARY: Three patients with spontaneous dural carotid-cavernous fistulas were treated by using a combination of detachable coils and Onyx liquid embolic agent. Cavernous sinus was accessed via the superior ophthalmic vein or inferior petrous sinus approach. In all cases, a complete angiographic closure of the fistulas was achieved with full recovery from neuro-ophthalmologic symptoms. This report suggests that the controlled and excellent penetration of Onyx is superb for blocking the intricate communication of dural carotid-cavernous fistulas.




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Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X