The Application of Copernic RC Balloon in Endovascular Treatment of Complex Intracranial Dural Arteriovenous Fistula of the Transverse Sigmoid Sinus

During endovascular treatment of complex intracranial dural arteriovenous fistulas (DAVFs) of the transverse sigmoid sinus, it can be difficult to preserve the patency of the dural sinus. We have described the details of the transvenous balloon-assisted technique using Copernic RC balloon as a treat...

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Bibliographic Details
Published in:World neurosurgery 2019-11, Vol.131, p.21-26
Main Authors: Lu, Dan, Chen, Lei, Kang, Xiaoyu, He, Yingkun, Xu, Bin, Bai, Weixing
Format: Article
Language:English
Subjects:
Adult
Aged
Central Nervous System Vascular Malformations - therapy
Cerebral Angiography
Embolization, Therapeutic - methods
Endovascular Procedures - methods
Humans
Male
Transverse Sinuses
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Summary:During endovascular treatment of complex intracranial dural arteriovenous fistulas (DAVFs) of the transverse sigmoid sinus, it can be difficult to preserve the patency of the dural sinus. We have described the details of the transvenous balloon-assisted technique using Copernic RC balloon as a treatment option for patients with complex DAVFs of the transverse sigmoid sinus. In these 2 cases, the Copernic RC balloon was navigated into the internal jugular vein and placed at the distal end of the DAVFs in the transverse sinus. After the balloon was fully inflated, a transarterial glue embolization or transvenous Onyx tunnel technique was performed, with complete exclusion of the fistula and patency of the transverse sigmoid sinus. No immediate or delayed postoperative complications occurred. Transvenous Copernic RC balloon-assisted embolization of DAVFs in the transverse and sigmoid sinuses is safe and can offer complete occlusion of DAVFs and remission of clinical symptoms.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2019.07.159