Quest for the optimal venous access in a complex skull base dural fistula: Case illustrations and principles.

IF 1.7 4区医学 Q3 Medicine

Interventional Neuroradiology Pub Date : 2025-02-03 DOI:10.1177/15910199251316407

Eyad Almallouhi, Mithun G Sattur, Rahim Abo Kasem, Ahmed Muthana, Robert E Wood, Alejandro M Spiotta

引用次数: 0

Abstract

Treatment of dural arteriovenous fistulae (DAVFs) is dynamic and evolves between diagnostic and therapeutic angiography.A 79-year-old man with a left jugular foramen DAVF presented with new onset cranial nerve XII palsy. The DAVF progressed from Cognard grade I to IIa + b. A transvenous approach was chosen. Attempts to access the left inferior petrosal sinus (IPS) via the left internal jugular vein failed due to occlusion. An alternative route through the left superior ophthalmic vein and left cavernous sinus to the IPS was devised. Successful coil occlusion of the IPS was achieved. Postoperatively, symptoms resolved, and angiography showed no cortical venous reflux.

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在复杂颅底硬脑膜瘘管中寻找最佳静脉通路：案例说明和原则。

硬脑膜动静脉瘘（DAVFs）的治疗是动态的，在诊断和治疗血管造影之间不断发展。一名79岁男性左颈静脉孔DAVF提出新发脑神经第十二麻痹。DAVF从科纳尔I级上升到IIa + b级。选择经静脉入路。试图通过左侧颈内静脉进入左侧岩下窦（IPS）由于闭塞失败。我们设计了一条通过左眼上静脉和左海绵窦到达IPS的替代路线。成功的线圈闭塞IPS。术后症状消失，血管造影显示无皮质静脉回流。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Interventional Neuroradiology 医学-核医学

CiteScore

2.80

自引率

11.80%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Interventional Neuroradiology (INR) is a peer-reviewed clinical practice journal documenting the current state of interventional neuroradiology worldwide. INR publishes original clinical observations, descriptions of new techniques or procedures, case reports, and articles on the ethical and social aspects of related health care. Original research published in INR is related to the practice of interventional neuroradiology...