A case of the Cavernous Dural AV Fistula Treated by Selective Transvenous Coil Embolization of the Fistula Point

We reported a case of the cavernous dural AV fistula treated by selective transvenous coil embolization of the fistula point. Case ; Thirty-seven year old female who presented unilateral exophthalmus and chemosis was diagnosed left cavernous dural AV fistula , Barrow type D. Detailed angiographical analysis diagnosed a single AV fistula of the medial-superior-anterior part of the cavernous sinus. She was treated by selective transvenous coil embolization of the fistula point with minimal coil deposit. Cavernous dural AV shunt was completely disappeared and clinical signs were soon fully recovered. Conclusion ; Selective transvenous coil embolization of the cavernous dural AV shunt is an ideal endovascular treatment with minimal coil deposit. Several required conditions to perform this treatment are discussed. Outlet occlusion and sinus packing should be always prepared as a second choice of the treatment unless the selective coil embolization is possible to treat the AV shunt completely