Direct Puncture of the Superficial Temporal Artery in Embolization of a Scalp Arteriovenous Fistula: A Case Report

Author: Gregory B. WALKER ¹ ; Alick P. WANG ; Jeremiah HADWEN ; Undrakh-Erdene ERDENEBOLD ; Razmik BEBEDJIAN ; Patrick SULLIVAN ; Marlise P. SANTOS ; Chad CHENIER ; Stephen KARWASKI ; Katie CARON ; Gabriella VARGA ; Jennifer LYON ; Howard J. LESIUK ; Navraj HERAN ; Manraj HERAN ; Aiman QUATEEN ; Brian J. DRAKE ; Eduardo Portela De OLIVEIRA ; Mario KONTOLEMOS ; Robert FAHED
Author Information

1. Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
Publication Type:Case Report
From:Neurointervention 2023;18(1):67-71
CountryRepublic of Korea
Language:English
Abstract: We describe a minimally invasive endovascular approach to treat an arteriovenous fistula of the scalp. We performed a direct puncture of the lesion through the patient’s scalp for liquid embolic agent injection along with external compression of the superficial temporal artery to perform a “manual pressure-cooker technique.” The combination of these minimally invasive techniques resulted in an excellent clinical and radiographic outcome.