Successful treatment of direct carotid-cavernous fistula in a patient with Ehlers-Danlos syndrome type IV without arterial puncture: the transvenous triple-overlay embolization (TAILOREd) technique.
- Thien J Huynh,
- Ryan P Morton,
- Michael R Levitt,
- Basavaraj V Ghodke,
- Onno Wink,
- Danial K Hallam
BMJ Case Rep 2017 Aug 18;2017. Epub 2017 Aug 18.
Department of Radiology, University of Washington, Seattle, Washington, USA.
We report successful transvenous treatment of direct carotid-cavernous fistula in a patient with Ehlers-Danlos syndrome type IV using a novel triple-overlay embolization (TAILOREd) technique without the need for arterial puncture, which is known to be highly risky in this patient group. The TAILOREd technique allowed for successful treatment using preoperative MR angiography as a three-dimensional overlay roadmap combined with cone beam CT and live fluoroscopy, precluding the need for an arterial puncture. Read More