Endovascular management of cavernous sinus dural arteriovenous fistula: A single-center experience
Objective: The purpose of this study was to evaluate the single-center experience with endovascular management of cavernous sinus dural arteriovenous fistula (CS-DAVF). Methods: From October 2018 to April 2020, a total of 54 patients with CS-DAVF underwent endovascular treatment at our center. Demog...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Interdisciplinary Neurosurgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751923001676 |
| _version_ | 1797259966513414144 |
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| author | Tuan Quoc Tran Anh Minh Nguyen Tung Minh Trinh Nghia Trung Huynh Hoa Viet Nguyen |
| author_facet | Tuan Quoc Tran Anh Minh Nguyen Tung Minh Trinh Nghia Trung Huynh Hoa Viet Nguyen |
| author_sort | Tuan Quoc Tran |
| collection | DOAJ |
| description | Objective: The purpose of this study was to evaluate the single-center experience with endovascular management of cavernous sinus dural arteriovenous fistula (CS-DAVF). Methods: From October 2018 to April 2020, a total of 54 patients with CS-DAVF underwent endovascular treatment at our center. Demographic information, clinical symptoms, and lesion characteristics were noted. Medical records were reviewed to assess changes in clinical status, complications, and recurrence following treatment. The correlation between patient characteristics, fistula characteristics, and treatment outcomes was analyzed. Results: Clinical signs and symptoms included chemosis (81.5%), exophthalmos (42,6%), cranial nerve palsy/diplopia (11.1%), increased intraocular pressure (74.1%), and impaired vision (42,6%). Cortical venous drainage was identified in 29.6% of the patients. Transvenous embolization (alone or in conjunction with transarterial embolization) was the treatment of choice in most patients. Partial transarterial embolization alone was carried out in only 1.8%. Complete occlusion of the fistula was achieved in 81.48%, near complete occlusion (without cortical venous drainage or ocular drainage) was achieved in 18.52%. After complete occlusion of the fistula, no recurrence was observed. Conclusion: Transvenous embolization is a highly efficient and safe treatment for CS-DAVF. In a majority of patients, a significant and permanent improvement in clinical signs and symptoms can be achieved. |
| first_indexed | 2024-03-09T15:39:24Z |
| format | Article |
| id | doaj.art-d8aaef23990e4ace94d3a0d5056f2522 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-24T23:17:49Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-d8aaef23990e4ace94d3a0d5056f25222024-03-17T07:54:04ZengElsevierInterdisciplinary Neurosurgery2214-75192024-06-0136101884Endovascular management of cavernous sinus dural arteriovenous fistula: A single-center experienceTuan Quoc Tran0Anh Minh Nguyen1Tung Minh Trinh2Nghia Trung Huynh3Hoa Viet Nguyen4Department of Neurosurgery, University Medical Center Ho Chi Minh City, UMC, Viet Nam; Department of Neurosurgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, UMP, Viet NamDepartment of Neurosurgery, University Medical Center Ho Chi Minh City, UMC, Viet Nam; Department of Neurosurgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, UMP, Viet NamDepartment of Neurosurgery, University Medical Center Ho Chi Minh City, UMC, Viet NamDepartment of Neurosurgery, University Medical Center Ho Chi Minh City, UMC, Viet NamDepartment of Neurosurgery, University Medical Center Ho Chi Minh City, UMC, Viet Nam; Corresponding author at: 215 Hong Bang St., Ward 12, District 5, Ho Chi Minh City, Viet Nam.Objective: The purpose of this study was to evaluate the single-center experience with endovascular management of cavernous sinus dural arteriovenous fistula (CS-DAVF). Methods: From October 2018 to April 2020, a total of 54 patients with CS-DAVF underwent endovascular treatment at our center. Demographic information, clinical symptoms, and lesion characteristics were noted. Medical records were reviewed to assess changes in clinical status, complications, and recurrence following treatment. The correlation between patient characteristics, fistula characteristics, and treatment outcomes was analyzed. Results: Clinical signs and symptoms included chemosis (81.5%), exophthalmos (42,6%), cranial nerve palsy/diplopia (11.1%), increased intraocular pressure (74.1%), and impaired vision (42,6%). Cortical venous drainage was identified in 29.6% of the patients. Transvenous embolization (alone or in conjunction with transarterial embolization) was the treatment of choice in most patients. Partial transarterial embolization alone was carried out in only 1.8%. Complete occlusion of the fistula was achieved in 81.48%, near complete occlusion (without cortical venous drainage or ocular drainage) was achieved in 18.52%. After complete occlusion of the fistula, no recurrence was observed. Conclusion: Transvenous embolization is a highly efficient and safe treatment for CS-DAVF. In a majority of patients, a significant and permanent improvement in clinical signs and symptoms can be achieved.http://www.sciencedirect.com/science/article/pii/S2214751923001676Cavernous sinus dural arteriovenous fistulaTransvenous embolizationEndovascular technique |
| spellingShingle | Tuan Quoc Tran Anh Minh Nguyen Tung Minh Trinh Nghia Trung Huynh Hoa Viet Nguyen Endovascular management of cavernous sinus dural arteriovenous fistula: A single-center experience Interdisciplinary Neurosurgery Cavernous sinus dural arteriovenous fistula Transvenous embolization Endovascular technique |
| title | Endovascular management of cavernous sinus dural arteriovenous fistula: A single-center experience |
| title_full | Endovascular management of cavernous sinus dural arteriovenous fistula: A single-center experience |
| title_fullStr | Endovascular management of cavernous sinus dural arteriovenous fistula: A single-center experience |
| title_full_unstemmed | Endovascular management of cavernous sinus dural arteriovenous fistula: A single-center experience |
| title_short | Endovascular management of cavernous sinus dural arteriovenous fistula: A single-center experience |
| title_sort | endovascular management of cavernous sinus dural arteriovenous fistula a single center experience |
| topic | Cavernous sinus dural arteriovenous fistula Transvenous embolization Endovascular technique |
| url | http://www.sciencedirect.com/science/article/pii/S2214751923001676 |
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