Transvenous Embolization with Ethylene Vinyl Alcohol and Arterial Flow Control of a Dural Arteriovenous Fistula of the Isolated Transverse Sinus

Dural arteriovenous fistulas draining into an isolated sinus often require a multimodal treatment, with transarterial and transvenous approaches.1-6 However, there is no consensus about the injection technique. Some authors suggest filling the sinus with coils in order to have a compact cast without...

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Bibliographic Details
Published in:World neurosurgery 2022-01, Vol.157, p.35-35
Main Authors: Diana, Francesco, Frauenfelder, Giulia, Saponiero, Renato, Iaconetta, Giorgio, Romano, Daniele Giuseppe
Format: Article
Language:English
Subjects:
Arterial flow control
Central Nervous System Vascular Malformations - therapy
Combined Modality Therapy
Dural AVFs
Embolic materials
Embolization, Therapeutic - methods
Endovascular Procedures
Humans
Lateral Sinus Thrombosis - therapy
Male
Middle Aged
Polyvinyls
Transverse Sinuses
Venous approach
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Summary:Dural arteriovenous fistulas draining into an isolated sinus often require a multimodal treatment, with transarterial and transvenous approaches.1-6 However, there is no consensus about the injection technique. Some authors suggest filling the sinus with coils in order to have a compact cast without unnecessary migration of the embolic material. We present a case of a patient with left temporal hemorrhage caused by a dural arteriovenous fistula on the isolated left transverse sinus. In this operative video we demonstrate how the arterial flow control during treatment allows us to obtain a compact cast of the embolic material inside the isolated sinus without coils (Video 1).
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2021.09.123