A Patient with a Cavernous Sinus Dural Arteriovenous Fistula in Whom an Approach through the Jugular Venous Arch Involving Facial Vein Return Was Adopted

OBJECTIVE: We report the case of a cavernous sinus dural arteriovenous fistula (CSdAVF) treated by transvenous embolization (TVE) via the jugular venous arch (JVA) connecting bilateral superficial cervical veins. CASE PRESENTATION: A male patient in his 50s presenting with diplopia and headache was...

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Autores principales: Nagase, Takayuki, Tokunaga, Koji, Watanabe, Kyoichi, Umeda, Tsuyoshi, Suruga, Yasuki, Takasugi, Yuji, Inoue, Satoshi, Kiriyama, Hideki, Matsumoto, Kengo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370671/
https://www.ncbi.nlm.nih.gov/pubmed/37502728
http://dx.doi.org/10.5797/jnet.cr.2020-0033
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author Nagase, Takayuki
Tokunaga, Koji
Watanabe, Kyoichi
Umeda, Tsuyoshi
Suruga, Yasuki
Takasugi, Yuji
Inoue, Satoshi
Kiriyama, Hideki
Matsumoto, Kengo
author_facet Nagase, Takayuki
Tokunaga, Koji
Watanabe, Kyoichi
Umeda, Tsuyoshi
Suruga, Yasuki
Takasugi, Yuji
Inoue, Satoshi
Kiriyama, Hideki
Matsumoto, Kengo
author_sort Nagase, Takayuki
collection PubMed
description OBJECTIVE: We report the case of a cavernous sinus dural arteriovenous fistula (CSdAVF) treated by transvenous embolization (TVE) via the jugular venous arch (JVA) connecting bilateral superficial cervical veins. CASE PRESENTATION: A male patient in his 50s presenting with diplopia and headache was diagnosed with a CSdAVF. The first session of TVE resulted in incomplete obliteration of the fistula due to poor accessibility through the inferior petrosal sinus (IPS), and postoperative computed tomography angiography (CTA) disclosed a newly developed drainage route into the facial vein (FV) connecting to the anterior jugular vein (AJV) and the JVA. The patient underwent the second session of TVE through the JVA, FV, and the superior ophthalmic vein (SOV), and obliteration was achieved. CONCLUSION: There is a considerable variation in the anatomy of facio-cervical veins in patients with CSdAVF. Meticulous preoperative evaluation of the venous drainage route using modern diagnostic tools is indispensable to achieve successful results in patients with CSdAVF.
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spelling pubmed-103706712023-07-27 A Patient with a Cavernous Sinus Dural Arteriovenous Fistula in Whom an Approach through the Jugular Venous Arch Involving Facial Vein Return Was Adopted Nagase, Takayuki Tokunaga, Koji Watanabe, Kyoichi Umeda, Tsuyoshi Suruga, Yasuki Takasugi, Yuji Inoue, Satoshi Kiriyama, Hideki Matsumoto, Kengo J Neuroendovasc Ther Case Report OBJECTIVE: We report the case of a cavernous sinus dural arteriovenous fistula (CSdAVF) treated by transvenous embolization (TVE) via the jugular venous arch (JVA) connecting bilateral superficial cervical veins. CASE PRESENTATION: A male patient in his 50s presenting with diplopia and headache was diagnosed with a CSdAVF. The first session of TVE resulted in incomplete obliteration of the fistula due to poor accessibility through the inferior petrosal sinus (IPS), and postoperative computed tomography angiography (CTA) disclosed a newly developed drainage route into the facial vein (FV) connecting to the anterior jugular vein (AJV) and the JVA. The patient underwent the second session of TVE through the JVA, FV, and the superior ophthalmic vein (SOV), and obliteration was achieved. CONCLUSION: There is a considerable variation in the anatomy of facio-cervical veins in patients with CSdAVF. Meticulous preoperative evaluation of the venous drainage route using modern diagnostic tools is indispensable to achieve successful results in patients with CSdAVF. The Japanese Society for Neuroendovascular Therapy 2020-09-30 2021 /pmc/articles/PMC10370671/ /pubmed/37502728 http://dx.doi.org/10.5797/jnet.cr.2020-0033 Text en ©2021 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Nagase, Takayuki
Tokunaga, Koji
Watanabe, Kyoichi
Umeda, Tsuyoshi
Suruga, Yasuki
Takasugi, Yuji
Inoue, Satoshi
Kiriyama, Hideki
Matsumoto, Kengo
A Patient with a Cavernous Sinus Dural Arteriovenous Fistula in Whom an Approach through the Jugular Venous Arch Involving Facial Vein Return Was Adopted
title A Patient with a Cavernous Sinus Dural Arteriovenous Fistula in Whom an Approach through the Jugular Venous Arch Involving Facial Vein Return Was Adopted
title_full A Patient with a Cavernous Sinus Dural Arteriovenous Fistula in Whom an Approach through the Jugular Venous Arch Involving Facial Vein Return Was Adopted
title_fullStr A Patient with a Cavernous Sinus Dural Arteriovenous Fistula in Whom an Approach through the Jugular Venous Arch Involving Facial Vein Return Was Adopted
title_full_unstemmed A Patient with a Cavernous Sinus Dural Arteriovenous Fistula in Whom an Approach through the Jugular Venous Arch Involving Facial Vein Return Was Adopted
title_short A Patient with a Cavernous Sinus Dural Arteriovenous Fistula in Whom an Approach through the Jugular Venous Arch Involving Facial Vein Return Was Adopted
title_sort patient with a cavernous sinus dural arteriovenous fistula in whom an approach through the jugular venous arch involving facial vein return was adopted
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370671/
https://www.ncbi.nlm.nih.gov/pubmed/37502728
http://dx.doi.org/10.5797/jnet.cr.2020-0033
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