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Successful transarterial embolization of a Barrow type D dural carotid-cavernous fistula with ethylene vinyl alcohol copolymer (Onyx).
J Neuroophthalmol. 2009 Mar; 29(1):9-12.JN

Abstract

Endovascular occlusion via the transvenous route is the favored treatment method for dural carotid-cavernous fistulas (CCFs). Ethylene vinyl alcohol copolymer (Onyx), recently approved for treatment of arteriovenous malformations, has advantages over conventional liquid embolic agents in its nonadhesive nature, which allows for longer injections with decreased risk of catheter retention. We report the use of Onyx in the successful transarterial embolization of a dural CCF fed by arterial branches of the internal and external carotid arteries (Barrow type D) after multiple failed attempts to access the cavernous sinus transvenously. Transarterial Onyx embolization could be a valuable option in transarterial treatment of CCFs when venous access is difficult.

Authors+Show Affiliations

Department of Radiology, Division of Interventional Neuroradiology (DG), Johns Hopkins University, Baltimore, Maryland 21287, USA. dgandhi2@jhmi.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19458568

Citation

Gandhi, Dheeraj, et al. "Successful Transarterial Embolization of a Barrow Type D Dural Carotid-cavernous Fistula With Ethylene Vinyl Alcohol Copolymer (Onyx)." Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society, vol. 29, no. 1, 2009, pp. 9-12.
Gandhi D, Ansari SA, Cornblath WT. Successful transarterial embolization of a Barrow type D dural carotid-cavernous fistula with ethylene vinyl alcohol copolymer (Onyx). J Neuroophthalmol. 2009;29(1):9-12.
Gandhi, D., Ansari, S. A., & Cornblath, W. T. (2009). Successful transarterial embolization of a Barrow type D dural carotid-cavernous fistula with ethylene vinyl alcohol copolymer (Onyx). Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society, 29(1), 9-12. https://doi.org/10.1097/WNO.0b013e318199ce83
Gandhi D, Ansari SA, Cornblath WT. Successful Transarterial Embolization of a Barrow Type D Dural Carotid-cavernous Fistula With Ethylene Vinyl Alcohol Copolymer (Onyx). J Neuroophthalmol. 2009;29(1):9-12. PubMed PMID: 19458568.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Successful transarterial embolization of a Barrow type D dural carotid-cavernous fistula with ethylene vinyl alcohol copolymer (Onyx). AU - Gandhi,Dheeraj, AU - Ansari,Sameer A, AU - Cornblath,Wayne T, PY - 2009/5/22/entrez PY - 2009/5/22/pubmed PY - 2009/8/8/medline SP - 9 EP - 12 JF - Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society JO - J Neuroophthalmol VL - 29 IS - 1 N2 - Endovascular occlusion via the transvenous route is the favored treatment method for dural carotid-cavernous fistulas (CCFs). Ethylene vinyl alcohol copolymer (Onyx), recently approved for treatment of arteriovenous malformations, has advantages over conventional liquid embolic agents in its nonadhesive nature, which allows for longer injections with decreased risk of catheter retention. We report the use of Onyx in the successful transarterial embolization of a dural CCF fed by arterial branches of the internal and external carotid arteries (Barrow type D) after multiple failed attempts to access the cavernous sinus transvenously. Transarterial Onyx embolization could be a valuable option in transarterial treatment of CCFs when venous access is difficult. SN - 1536-5166 UR - https://www.unboundmedicine.com/medline/citation/19458568/Successful_transarterial_embolization_of_a_Barrow_type_D_dural_carotid_cavernous_fistula_with_ethylene_vinyl_alcohol_copolymer__Onyx__ L2 - http://dx.doi.org/10.1097/WNO.0b013e318199ce83 DB - PRIME DP - Unbound Medicine ER -