Transarterial Sinus Coiling for Dural Arteriovenous Fistula: Two Case Reports

OBJECTIVE: We report two cases of dural arteriovenous fistula (DAVF) treated by coil embolization of the affected sinus and fistula via a feeding artery instead of transvenous embolization (TVE) due to the difficulty of the transvenous approach. CASE PRESENTATION: An 82-year-old man was diagnosed wi...

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Detalles Bibliográficos
Autores principales: Shimada, Kenji, Satoh, Koichi, Teshima, Natsumi, Yamaguchi, Izumi, Miyamoto, Takeshi, Sogabe, Shu, Miyake, Kazuhisa, Kurashiki, Yoshitaka, Hanaoka, Mami, Kanematsu, Yasuhisa, Matsuzaki, Kazuhito, Takagi, Yasushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370958/
https://www.ncbi.nlm.nih.gov/pubmed/37502412
http://dx.doi.org/10.5797/jnet.cr.2020-0080
Descripción
Sumario:OBJECTIVE: We report two cases of dural arteriovenous fistula (DAVF) treated by coil embolization of the affected sinus and fistula via a feeding artery instead of transvenous embolization (TVE) due to the difficulty of the transvenous approach. CASE PRESENTATION: An 82-year-old man was diagnosed with transverse sinus (TS) DAVF. A microcatheter was inserted into the isolated TS through the fistula via the middle meningeal artery (MMA), which was the feeding artery of the DAVF. The DAVF was occluded by coil embolization of the isolated sinus and fistula. A 79-year-old man was diagnosed with cavernous sinus (CS) DAVF. A microcatheter was inserted into the CS through the fistula via an accessory meningeal artery (AMA), which was the feeding artery of the DAVF. The DAVF was occluded by coil embolization of the affected sinus and fistula. CONCLUSION: These cases suggested that transarterial sinus coiling is one of the effective treatment options for DAVF.

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