イシグロ　タイチ   石黒　太一    所属   医学部 医学科（附属八千代医療センター）    職種   講師
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Spontaneous Persistent Primitive Trigeminal Artery-Cavernous Sinus Fistula Successfully Treated by Multipronged Coil Embolization: Case Report and Literature Review.
掲載誌名	正式名：World neurosurgery 略　 称：World Neurosurg ISSNコード：18788769/18788750
掲載区分	国外
巻・号・頁	128,pp.122-126
著者・共著者	Ishiguro Taichi, Satow Tetsu, Okada Akihiro, Hamano Eika, Ikeda Go, Chikuie Hidekazu, Koiso Takao, Hashimura Naoki, Nishimura Masaki, Takahashi Jun C
発行年月	2019/08
概要	BACKGROUND:A spontaneous persistent primitive trigeminal artery-cavernous sinus fistula (PCF) is extremely rare. Until recently, endovascular treatment for PCF involving transarterial and/or transvenous coil embolization of the cavernous sinus (with/without the persistent trigeminal artery) was commonly performed. However, it may result in remaining shunt flow or exacerbation of cranial nerve palsy.CASE DESCRIPTION:A 51-year-old woman presented with headache and left abducens palsy. Digital subtraction angiography demonstrated a direct fistula between the cavernous segment of the persistent primitive trigeminal artery (PPTA) and posterosuperior compartment of the left cavernous sinus (CS). Three microcatheters were guided into the fistula as follows: 1) through the PPTA to the CS from the left internal carotid artery, 2) through the PPTA to the CS from the basilar artery, and 3) through the CS to the PPTA from the internal jugular vein. Using the double-catheter technique in a multidirectional fashion, shunt occlusion was achieved with a small number of coils. No signs of recurrence were observed during the follow-up period.CONCLUSIONS:The multipronged approach is safe and effective for embolization of a small tortuous artery and shunt segment to avoid incomplete shunt occlusion.
DOI	10.1016/j.wneu.2019.05.003
PMID	31078800