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An innovative technique for detecting the caudal end of occluded inferior petrosal sinus in cavernous arteriovenous fistula using intravascular ultrasonography—technical note
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An innovative technique for detecting the caudal end of occluded inferior petrosal sinus in cavernous arteriovenous fistula using intravascular ultrasonography—technical note
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An innovative technique for detecting the caudal end of occluded inferior petrosal sinus in cavernous arteriovenous fistula using intravascular ultrasonography—technical note
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Journal Article
An innovative technique for detecting the caudal end of occluded inferior petrosal sinus in cavernous arteriovenous fistula using intravascular ultrasonography—technical note
2015
Overview
Introduction
Although cavernous sinus (CS) dural arteriovenous fistulas (d-AVFs) are usually treated with transvenous embolization (TVE) via the inferior petrosal sinus (IPS), IPSs are sometimes thrombosed and angiographically invisible. In such cases, the first obstacle to TVE is detecting the entry to the IPS. We report a new technique for TVE via IPS using intravascular ultrasonography (IVUS).
Methods
Three consecutive cases of CS d-AVF with ipsilateral or bilateral IPS occlusion were involved in this study. On TVE, the orifice of the IPS was investigated with IVUS placed in the jugular vein or jugular bulb.
Results
This technique has been successfully adapted in all three cases. In two of these cases, IPS was well visualized with the help of IVUS, and TVE was successfully performed.
Conclusion
To our knowledge, this is the first report to mention the usefulness of IVUS for detecting angiographically occult IPS.
Publisher
Springer Berlin Heidelberg,Springer Nature B.V
Subject
/ Anatomic Landmarks - diagnostic imaging
/ Arteriovenous Fistula - diagnostic imaging
/ Arteriovenous Fistula - therapy
/ Cavernous Sinus - diagnostic imaging
/ Embolization, Therapeutic - methods
/ Female
/ Humans
/ Imaging
/ Intracranial Arteriovenous Malformations - diagnostic imaging
/ Intracranial Arteriovenous Malformations - therapy
/ Medicine
/ Sinuses
/ Ultrasonography, Interventional - methods
