Facilitated Retrograde Access via the Facial Vein for Transvenous Embolization of the Cavernous Sinus Dural Arteriovenous Fistula with Isolated Ophthalmic Venous Drainage

Meshari AlAli; Boseong Kwon; Yunsun Song; Deok Hee Lee

doi:10.5469/neuroint.2023.00493

Facilitated Retrograde Access via the Facial Vein for Transvenous Embolization of the Cavernous Sinus Dural Arteriovenous Fistula with Isolated Ophthalmic Venous Drainage

Neurointervention. 2024 Mar;19(1):39-44. doi: 10.5469/neuroint.2023.00493. Epub 2024 Jan 12.

Authors

Meshari AlAli¹, Boseong Kwon², Yunsun Song², Deok Hee Lee²

Affiliations

¹ Department of Radiology, College of Medicine, Majmaah University, Al Majmaah, Saudi Arabia.
² Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

Management of cavernous sinus dural arteriovenous fistula (CSDAVF) continues to present significant challenges, particularly when the inferior petrosal sinus is thrombosed, collapsed, or angiographically invisible. In this study, we introduce facilitated retrograde access via the facial vein, which is employed in the transvenous embolization of CSDAVF with isolated superior ophthalmic venous drainage. We also present illustrative cases and technical points.

Keywords: Catheterization; Cavernous sinus; Dural arteriovenous fistula; Embolization, therapeutic.