Transvenous injection of Onyx for casting of the cavernous sinus for the treatment of a carotid-cavernous fistula

• DOI: 10.1007/s00234-004-1244-9
• Publication Date: 2004-11-08T08:44:15Z
• Authors: Anil Arat; Saruhan Cekirge; Isil Saatci; Burce Ozgen
• Keywords: Male; Middle Aged; Embolization, Therapeutic; 3. Good health; Radiography; 03 medical and health sciences; Carotid-Cavernous Sinus Fistula; 0302 clinical medicine; Injections, Intravenous; Humans; Dimethyl Sulfoxide; Polyvinyls

A complex case of carotid-cavernous fistula was treated transvenously by injection of ethyl vinyl alcohol co-polymer into the cavernous sinus after an unsuccessful embolization attempt with detachable coils and liquid adhesive agents. There were no complications. At 3 months the patient's symptoms had resolved completely, and a control angiogram revealed persistent occlusion. The physical properties of ethyl vinyl alcohol polymer justify further investigation of this agent for the treatment of carotid-cavernous fistula.