Endovascular therapy of vascular lesions of the cavernous sinus. Experience with 129 cases

  • F. Viñuela
  • P. Lylyk


The relationship of the cavernous sinus with the brain, orbit, sella turcica, mastoid, and middle ear makes this structure of special interest to the neurologist, neurosurgeon, ophthalmologist, otolaryngologist and endocrinologist.


Internal Carotid Artery Cavernous Sinus Endovascular Therapy Inferior Petrosal Sinus Internal Carotid Artery Occlusion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Bedford MA (1966) The “cavernous sinus”. Br J Ophthalmol 50: 41–45PubMedCrossRefGoogle Scholar
  2. 2.
    Vinuela F, Fox AJ, Debrun GM etal (1984) Spontaneous carotid-cavernous fistulas: clinical, radiological and therapeutic considerations. Experience with 20 cases. J Neurosurg 60: 976–984PubMedCrossRefGoogle Scholar
  3. 3.
    Parker L (1982) Neuro-ophthalmological aspects of carotid cavernous fistula. In: Smith R, Armin F, Russell W (eds) Seminars in neurological surgery. Vascular malformations and fistulas of the brain. Raven Press, New York, pp 181–198Google Scholar
  4. 4.
    Martin JD, Mabon RF (1943) Pulsating exophthalmos. JAMA 121: 330–334Google Scholar
  5. 5.
    Debrun G, Jacour P, Vinuela F, Fox AJ (1981) Treatment of 54 traumatic carotid-cavernous fistulas. J Neurosurg 55: 678–692PubMedCrossRefGoogle Scholar
  6. 6.
    Debrun G, Fox AJ, Drake CG, Peerless SJ, Girvin J, Ferguson G (1981) Giant unclippable aneurysms: treatment with detachable balloons. AJNR 2: 167–173PubMedGoogle Scholar
  7. 7.
    Dolenc V (1983) Direct microsurgical repair of intracavernous vascular lesions. J Neurosurg 58: 824–831PubMedCrossRefGoogle Scholar
  8. 8.
    Gelber RB, Sundt TM Jr (1980) Treatment of intracavernous and giant carotid aneurysms by combined internal carotid ligation and ECIC bypass. J Neurosurg 52: 1–10PubMedCrossRefGoogle Scholar
  9. 9.
    Hieshima GB, Mehringer CM, Grinnell VS etal (1978) Emergency occlusive technics. Surg Neurol 9: 293–302PubMedGoogle Scholar
  10. 10.
    Isamat F, Ferrer E, Twose J (1986) Direct intracavernous obliteration of high- flow carotid cavernous fistulas. J Neurosurg 65: 770–775PubMedCrossRefGoogle Scholar
  11. 11.
    Serbinenko FA (1974) Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41: 125–145PubMedCrossRefGoogle Scholar
  12. 12.
    Cares HL, Roberson GH, Grand W etal (1978) A safe technic for the precise location of carotid-cavernous fistula during balloon obliteration. Technical note. J Neurosurg 49: 146–149PubMedCrossRefGoogle Scholar
  13. 13.
    Manelfe C, Berenstein A (1980) Treatment of carotid cavernous fistulas by venous approach. J Neuroradiol 7: 13–20PubMedGoogle Scholar
  14. 14.
    Uflaker R, Limas S, Ribas GC, Piske RL (1986) Carotid-cavernous fistulas: embolization through the superior ophthalmic vein approach. Radiology 159: 175–179Google Scholar
  15. 15.
    Hosobuchi Y (1975) Electrothrombosis of carotid-cavernous fistula. J Neurosurg 42: 76–85PubMedCrossRefGoogle Scholar
  16. 16.
    Mullan S (1979) Treatment of carotid-cavernous fistulas by cavernous sinus occlusion. J Neurosurg 50: 131–144PubMedCrossRefGoogle Scholar
  17. 17.
    Hasegawa H, Bitoh S, Obashi J (1985) Closure of carotid-cavernous fistulae by use of a fibrin adhesive system. Surg Neurol 24: 23–26PubMedCrossRefGoogle Scholar
  18. 18.
    Seeger JF, Gabrielson TO, Giannotta SL etal (1980) Carotid cavernous sinus fistulas and venous thrombosis. AJNR 1: 171–178Google Scholar
  19. 19.
    Newton TH, Hoyt WF (1970) Dural arteriovenous shunts in the region of the cavernous sinus. Neuroradiology 1: 71–81CrossRefGoogle Scholar
  20. 20.
    Barrow DL, Spector RH, Braun IF et al (1985) Classification and treatment of spontaneous carotid-cavernous sinus fistulas. J Neurosurg 62: 248–256PubMedCrossRefGoogle Scholar
  21. 21.
    Voigt K, Saver M, Dichgans J (1971) Spontaneous occlusion of a bilateral carotid-cavernous fistula studied by serial angiography. Neuroradiology 2: 207–211PubMedCrossRefGoogle Scholar
  22. 22.
    Fox AJ, Vinuela F, Pelz DM, Peerless SJ, Ferguson G, Drake CG (1987) Use of detachable balloons for proximal artery occlusion in the treatment of unclippable aneurysms. J Neurosurg 66: 40–46PubMedCrossRefGoogle Scholar
  23. 23.
    Hieshima GB, Higashida RT, Wapenski JW et al (1987) Intravascular balloon embolization of a large mid-basilar artery aneurysm. J Neurosurg 66: 124–127PubMedCrossRefGoogle Scholar
  24. 24.
    Johnston I (1979) Direct surgical treatment of bilateral intracavernous internal carotid artery aneurysms. Case report. J Neurosurg 51: 98–102PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1987

Authors and Affiliations

  • F. Viñuela
    • 1
  • P. Lylyk
    • 1
  1. 1.Interventional NeuroradiologyU.C.L.A. Medical CenterLos AngelesUSA

Personalised recommendations