1.Direct Puncture of the Superficial Temporal Artery in Embolization of a Scalp Arteriovenous Fistula: A Case Report
Gregory B. WALKER ; 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
Neurointervention 2023;18(1):67-71
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.
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