Onyx Embolization of Dural Arteriovenous Fistula, using Scepter C Balloon Catheter: a Case Report.
10.5469/neuroint.2013.8.2.110
- Author:
Sung Tae KIM
1
;
Hae Woong JEONG
;
Jeonghwa SEO
Author Information
1. Department of Neurosurgery, Busan Paik Hospital, School of Medicine, Inje University, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Dural arteriovenous fistula;
Balloon;
Embolization;
Onyx
- MeSH:
Anesthesia, General;
Anterior Cerebral Artery;
Carotid Artery, External;
Carotid Artery, Internal;
Catheters;
Central Nervous System Vascular Malformations;
Cerebral Angiography;
Drainage;
Fistula;
Hypogonadism;
Meningeal Arteries;
Mitochondrial Diseases;
Ophthalmoplegia;
Superior Sagittal Sinus;
Veins
- From:Neurointervention
2013;8(2):110-114
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report our experience using Onyx for embolization of dural arteriovenous fistula (DAVF) under dual lumen balloon catheter flow arrest. Transfemoral cerebral angiography revealed a superior sagittal sinus (SSS) DAVF that was supplied via multiple branches of the external carotid arteries, the right anterior cerebral arteries, and the meningeal branches of the internal carotid artery. There was no anterograde venous drainage through the SSS, and venous drainage was almost retrograde through the medullary and cortical veins. Under general anesthesia, a transvenous approach was utilized to place the microcatheter close to the fistula site. After intravenous embolization with various coils, DAVF was partially occluded; Balloon catheter gained access to the DAVF via the right middle meningeal artery. We injected Onyx through the Scepter C catheter, after which DAVF was nearly completely occluded. Balloon-assisted Onyx embolization is a feasible and effective approach for the management of DAVF.
