RT Journal Article
SR Electronic
T1 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
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2017013052
DO 10.1136/bcr-2017-013052
VO 2017
A1 Thien J Huynh
A1 Ryan P Morton
A1 Levitt Michael R.
A1 Basavaraj V. Ghodke
A1 Onno Wink
A1 Danial K. Hallam
YR 2017
UL http://casereports.bmj.com/content/2017/bcr-2017-013052.abstract
AB 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.