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Endovascular Treatment of Cavernous Sinus Dural Arteriovenous Fistulas by Direct Puncture of Facial Vein

經由臉靜脈直接穿刺血管內治療海綿靜脈竇硬腦膜動靜脈瘻管

並列摘要


Transvenous embolization through the superior ophthalmic vein (SOV) is one of the most effective treatments for cavernous sinus dural arteriovenous fistulas (DAVF). We describe a simple application of intravenous catheterization to approach the SOV with direct percutaneous puncture of the facial vein without a surgical procedure. Contralateral digital subtracted roadmap and arteriogram in anterior-posterior projection are the best image references to place the surface markers precisely for the direct percutaneous puncture of the facial vein in such a circumstance.

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