Fluoroscopy-guided Combined (Surgical/Endovascular) Treatment of Dural Arteriovenous Fistula.
10.7461/jcen.2017.19.2.106
- Author:
So Hee PARK
1
;
Jong Hoon KIM
;
Chul Hoon CHANG
;
Young Jin JUNG
Author Information
1. Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Korea. sofesofe@hanmail.net
- Publication Type:Case Report
- Keywords:
Arteriovenous fistula;
Transverse sinuses;
Endovascular procedures;
Neurosurgical procedures
- MeSH:
Aged;
Angiography, Digital Subtraction;
Arteriovenous Fistula;
Central Nervous System Vascular Malformations*;
Craniotomy;
Embolization, Therapeutic;
Endovascular Procedures;
Female;
Fluoroscopy;
Humans;
Methods;
Neurosurgical Procedures;
Operating Rooms;
Transverse Sinuses
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2017;19(2):106-110
- CountryRepublic of Korea
- Language:English
-
Abstract:
For dural arteriovenous fistula (DAVF), when the usual endovascular or neurosurgical approaches are difficult to treat, multi-modal treatment can be helpful. We present a case of a 71-year-old woman with DAVF, who presented with an intracerebral haemorrhage. Digital subtraction angiography revealed a DAVF of the transverse sinus, with cortical venous reflux. Transvenous and transarterial approaches for coil embolization failed. In the operating room, a small craniotomy was performed, and coil embolization was done under fluoroscopy. Transcranial venous embolization might be a useful method to occlude DAVF in a case that is difficult to access by usual surgical or endovascular approaches.
