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Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report
OBJECTIVE: We report a case of intracerebral hemorrhage following emergency transvenous embolization for an acute symptomatic non-hemorrhagic dural arteriovenous fistula (dAVF). CASE PRESENTATION: An 83-year-old woman demonstrated gait disorder and disturbance of consciousness. A transverse-sigmoid...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Japanese Society for Neuroendovascular Therapy
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370603/ https://www.ncbi.nlm.nih.gov/pubmed/37502171 http://dx.doi.org/10.5797/jnet.cr.2019-0101 |
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author | Hori, Shinya Shimo, Daisuke Bando, Toshiaki Mikami, Kazuyuki Yasuda, Takaya Kuroyama, Takahiro Hirai, Osamu Ueno, Yasushi |
author_facet | Hori, Shinya Shimo, Daisuke Bando, Toshiaki Mikami, Kazuyuki Yasuda, Takaya Kuroyama, Takahiro Hirai, Osamu Ueno, Yasushi |
author_sort | Hori, Shinya |
collection | PubMed |
description | OBJECTIVE: We report a case of intracerebral hemorrhage following emergency transvenous embolization for an acute symptomatic non-hemorrhagic dural arteriovenous fistula (dAVF). CASE PRESENTATION: An 83-year-old woman demonstrated gait disorder and disturbance of consciousness. A transverse-sigmoid dAVF with retrograde deep venous drainage was detected on DSA. The left sigmoid sinus-jugular vein and the sinus confluence were occluded and the dAVF drains via the straight sinus (SS), medial superior cerebral veins and deep veins to the superior sagittal sinus (SSS). The dAVF was emergently treated by sinus packing of the transverse-sigmoid sinus with coils with contralateral approach via the occluded sinus confluence. Although the dAVF was markedly regressed, massive cerebral hemorrhage developed in the left parietal lobe immediately after embolization. CONCLUSION: Although early treatment is required for dAVFs with aggressive symptoms, precious evaluation of their hemodynamics, particularly for drainage pattern, is mandatory to avoid a serious complication. |
format | Online Article Text |
id | pubmed-10370603 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Japanese Society for Neuroendovascular Therapy |
record_format | MEDLINE/PubMed |
spelling | pubmed-103706032023-07-27 Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report Hori, Shinya Shimo, Daisuke Bando, Toshiaki Mikami, Kazuyuki Yasuda, Takaya Kuroyama, Takahiro Hirai, Osamu Ueno, Yasushi J Neuroendovasc Ther Case Report OBJECTIVE: We report a case of intracerebral hemorrhage following emergency transvenous embolization for an acute symptomatic non-hemorrhagic dural arteriovenous fistula (dAVF). CASE PRESENTATION: An 83-year-old woman demonstrated gait disorder and disturbance of consciousness. A transverse-sigmoid dAVF with retrograde deep venous drainage was detected on DSA. The left sigmoid sinus-jugular vein and the sinus confluence were occluded and the dAVF drains via the straight sinus (SS), medial superior cerebral veins and deep veins to the superior sagittal sinus (SSS). The dAVF was emergently treated by sinus packing of the transverse-sigmoid sinus with coils with contralateral approach via the occluded sinus confluence. Although the dAVF was markedly regressed, massive cerebral hemorrhage developed in the left parietal lobe immediately after embolization. CONCLUSION: Although early treatment is required for dAVFs with aggressive symptoms, precious evaluation of their hemodynamics, particularly for drainage pattern, is mandatory to avoid a serious complication. The Japanese Society for Neuroendovascular Therapy 2020-06-05 2020 /pmc/articles/PMC10370603/ /pubmed/37502171 http://dx.doi.org/10.5797/jnet.cr.2019-0101 Text en ©2020 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Case Report Hori, Shinya Shimo, Daisuke Bando, Toshiaki Mikami, Kazuyuki Yasuda, Takaya Kuroyama, Takahiro Hirai, Osamu Ueno, Yasushi Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report |
title | Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report |
title_full | Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report |
title_fullStr | Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report |
title_full_unstemmed | Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report |
title_short | Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report |
title_sort | fatal hemorrhage immediately after transvenous embolization of transverse-sigmoid sinus dural arteriovenous fistulas: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370603/ https://www.ncbi.nlm.nih.gov/pubmed/37502171 http://dx.doi.org/10.5797/jnet.cr.2019-0101 |
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