Successful transarterial embolization of a barrow type D dural carotid-cavernous fistula with ethylene vinyl alcohol copolymer (Onyx)

Dheeraj Gandhi*, Sameer A. Ansari, Wayne T. Cornblath

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)9-12
Number of pages4
JournalJournal of Neuro-Ophthalmology
Volume29
Issue number1
DOIs
StatePublished - Mar 2009

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

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