Usefulness of Distal Access Catheter in Endovascular Embolization for Spinal Dural Arteriovenous Fistulae in the Mid-Thoracic Segment

OBJECTIVE: We report a case of mid-thoracic spinal dural arteriovenous fistula (SDAVF) that was successfully treated by transarterial embolization using a distal access catheter (DAC). CASE PRESENTATION: A 75-year-old male presented with about a 2-year history of slowly progressive bilateral lower e...

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Detalles Bibliográficos
Autores principales: Satoh, Daisuke, Nishikawa, Akihiro, Kitazawa, Kazuo, Kobayashi, Shigeaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2020
Materias:
Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370930/
https://www.ncbi.nlm.nih.gov/pubmed/37501694
http://dx.doi.org/10.5797/jnet.tn.2020-0129
Descripción
Sumario:OBJECTIVE: We report a case of mid-thoracic spinal dural arteriovenous fistula (SDAVF) that was successfully treated by transarterial embolization using a distal access catheter (DAC). CASE PRESENTATION: A 75-year-old male presented with about a 2-year history of slowly progressive bilateral lower extremity weakness and numbness. Spinal MRI revealed significant spinal cord lesions and flow voids below Th4. Spinal angiography revealed a mid-thoracic SDAVF. We performed a transarterial selective embolization using a 4.2Fr DAC combined with a 6Fr guiding catheter to obtain a stronger support. The fistula was completely occluded. CONCLUSION: For endovascular embolization of SDAVF, especially in the case of mid-thoracic SDAVF, using a DAC can be one of the most powerful options to obtain a stronger support.

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