Endovascular treatment of arteriovenous anastomoses in the cavernous sinus region

Abstract

Introduction. Arteriovenous fistula in the cavernous sinus is a complex vascular pathology of the brain, its’ treatment is a scabrous problem that requires optimization of used techniques.Materials and methods. In the neurosurgical clinic of Kharkov Regional Hospital — Emergency and Disaster Medicine Center 23 endovascular surgeries were performed in 21 patients with carotid-cavernous sinus and arteriovenous fistulas. Preference was given to endovascular separation using detachable balloons «GoldBalloon» BALT (France).Results. In 16 (76%) cases after endovascular surgery complete regression of ophthalmic disorders was observed. In 2 (9.5%) patients with indirect fistulas repeat embolization of external carotid artery branches was performed 6 months after first operation, complete regression of ophthalmic disorders was achieved.Conclusions. The method of choice in treatment of arteriovenous fistulas of cavernous sinus is endovascular separation using modern materials and different adhesive compositions, which significantly increase treatment effectiveness in these patients.