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- Title
Combined transarterial and transvenous embolization of anterior cranial fossa dural arteriovenous fistula.
- Authors
Masahiro Sugihara; Atsushi Fujita; Yusuke Ikeuchi; Tatsuo Hori; Masaaki Kohta; Kazuhiro Tanaka; Hidehito Kimura; Takashi Sasayama
- Abstract
Background: Excessive glue injection into the drainage vein in patients with dural arteriovenous fistula (dAVF) can result in venous obstruction. We performed transarterial embolization (TAE) combined with transvenous embolization (TVE) with coils to prevent the glue from migrating into the normal cortical veins. Case Description: A 57-year-old man was pointed out to have a Borden Type III anterior cranial fossa dAVF during a check-up for putaminal hemorrhage. Because a left frontal normal cortical vein drained into the pathological drainage vein, excessive glue injection into the drainage vein may have caused venous obstruction. We performed TVE with coils at the foot of the draining vein to prevent excessive migration of glue into the drainer, followed by TAE with glue. With this technique, complete obliteration of the shunt without venous ischemia was obtained. Conclusion: The combined treatment of TAE and TVE is effective in preventing venous ischemia caused by unintended migration of glue cast into the drainage vein.
- Publication
Surgical Neurology International, 2023, Vol 14, p1
- ISSN
2229-5097
- Publication type
Article
- DOI
10.25259/SNI_487_2023