Endovascular treatment of complex dural arteriovenous fistula using the dual-microcatheter technique. Neurosurg Focus 2014 Jul;37(1 Suppl):1
Date
07/02/2014Pubmed ID
24983721DOI
10.3171/2014.V2.FOCUS14177Scopus ID
2-s2.0-84925545952 (requires institutional sign-in at Scopus site) 1 CitationAbstract
A 71-year-old woman presented with headache and dilated vessels on CTA. Angiography demonstrated a complex dural arteriovenous fistula with retrograde cortical venous hypertension, supplied by branches of internal and external carotids bilaterally into a fistulous pouch paralleling the left transverse and sigmoid sinuses, which was occluded at the jugular bulb. The patient refused treatment and was lost to follow-up, returning with sudden confusion and hemianopsia from left temporo-occipital hemorrhage. Transvenous endovascular embolization was performed using the dual-microcatheter technique with a combination of coiling and Onyx copolymer, completely occluding the sinus and fistula while preserving normal venous drainage. The video can be found here: http://youtu.be/u_4Oc7tSmDM .
Author List
Levitt MR, Osbun JW, Nerva JD, Kim LJAuthor
John D. Nerva MD Assistant Professor in the Neurosurgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedCentral Nervous System Vascular Malformations
Cerebral Angiography
Dimethyl Sulfoxide
Embolization, Therapeutic
Female
Humans
Polyvinyls