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Single-session hematoma removal and transcortical venous approach for coil embolization of an isolated transverse-sigmoid sinus dural arteriovenous fistula in a hybrid operating room: illustrative case
BACKGROUND: Dural arteriovenous fistula (DAVF) can present with massive hematoma, which sometimes requires emergent removal. Therefore, a surgical strategy for single-session hematoma removal and shunt occlusion in the same surgical field is important. OBSERVATIONS: A 73-year-old man was transferred...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Association of Neurological Surgeons
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9204917/ https://www.ncbi.nlm.nih.gov/pubmed/35734231 http://dx.doi.org/10.3171/CASE2267 |
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author | Yamaguchi, Izumi Kanematsu, Yasuhisa Shimada, Kenji Yamamoto, Nobuaki Miyake, Kazuhisa Miyamoto, Takeshi Sogabe, Shu Shikata, Eiji Ishihara, Manabu Yamamoto, Yuki Kuroda, Kazutaka Takagi, Yasushi |
author_facet | Yamaguchi, Izumi Kanematsu, Yasuhisa Shimada, Kenji Yamamoto, Nobuaki Miyake, Kazuhisa Miyamoto, Takeshi Sogabe, Shu Shikata, Eiji Ishihara, Manabu Yamamoto, Yuki Kuroda, Kazutaka Takagi, Yasushi |
author_sort | Yamaguchi, Izumi |
collection | PubMed |
description | BACKGROUND: Dural arteriovenous fistula (DAVF) can present with massive hematoma, which sometimes requires emergent removal. Therefore, a surgical strategy for single-session hematoma removal and shunt occlusion in the same surgical field is important. OBSERVATIONS: A 73-year-old man was transferred to the authors’ hospital with a headache. Brain computed tomography (CT) revealed an intracerebral hematoma in the right temporoparietal lobe (hematoma volume 12 ml). A cerebral angiogram revealed a right isolated transverse-sigmoid sinus (TSS)-DAVF fed by the occipital artery and middle meningeal artery. There was cortical venous reflux into the Labbé vein and posterior parietal vein. Percutaneous transarterial and transvenous embolization were unsuccessful. The following day, his consciousness level acutely declined with a headache, and brain CT showed hematoma expansion (hematoma volume 41 ml) with a midline shift. Therefore, the authors performed single-session hematoma removal and a transcortical venous approach for coil embolization of an isolated TSS-DAVF in a hybrid operating room. His postoperative course was uneventful. No recurrence was observed 3 months postoperatively on cerebral angiography. LESSONS: Single-session hematoma removal and a transcortical venous approach for coil embolization of an isolated TSS-DAVF is considered in cases with massive hematoma. This strategy is useful, considering recent developments in hybrid operating rooms. |
format | Online Article Text |
id | pubmed-9204917 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | American Association of Neurological Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-92049172022-06-21 Single-session hematoma removal and transcortical venous approach for coil embolization of an isolated transverse-sigmoid sinus dural arteriovenous fistula in a hybrid operating room: illustrative case Yamaguchi, Izumi Kanematsu, Yasuhisa Shimada, Kenji Yamamoto, Nobuaki Miyake, Kazuhisa Miyamoto, Takeshi Sogabe, Shu Shikata, Eiji Ishihara, Manabu Yamamoto, Yuki Kuroda, Kazutaka Takagi, Yasushi J Neurosurg Case Lessons Case Lesson BACKGROUND: Dural arteriovenous fistula (DAVF) can present with massive hematoma, which sometimes requires emergent removal. Therefore, a surgical strategy for single-session hematoma removal and shunt occlusion in the same surgical field is important. OBSERVATIONS: A 73-year-old man was transferred to the authors’ hospital with a headache. Brain computed tomography (CT) revealed an intracerebral hematoma in the right temporoparietal lobe (hematoma volume 12 ml). A cerebral angiogram revealed a right isolated transverse-sigmoid sinus (TSS)-DAVF fed by the occipital artery and middle meningeal artery. There was cortical venous reflux into the Labbé vein and posterior parietal vein. Percutaneous transarterial and transvenous embolization were unsuccessful. The following day, his consciousness level acutely declined with a headache, and brain CT showed hematoma expansion (hematoma volume 41 ml) with a midline shift. Therefore, the authors performed single-session hematoma removal and a transcortical venous approach for coil embolization of an isolated TSS-DAVF in a hybrid operating room. His postoperative course was uneventful. No recurrence was observed 3 months postoperatively on cerebral angiography. LESSONS: Single-session hematoma removal and a transcortical venous approach for coil embolization of an isolated TSS-DAVF is considered in cases with massive hematoma. This strategy is useful, considering recent developments in hybrid operating rooms. American Association of Neurological Surgeons 2022-05-23 /pmc/articles/PMC9204917/ /pubmed/35734231 http://dx.doi.org/10.3171/CASE2267 Text en © 2022 The authors https://creativecommons.org/licenses/by-nc-nd/4.0/CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ). |
spellingShingle | Case Lesson Yamaguchi, Izumi Kanematsu, Yasuhisa Shimada, Kenji Yamamoto, Nobuaki Miyake, Kazuhisa Miyamoto, Takeshi Sogabe, Shu Shikata, Eiji Ishihara, Manabu Yamamoto, Yuki Kuroda, Kazutaka Takagi, Yasushi Single-session hematoma removal and transcortical venous approach for coil embolization of an isolated transverse-sigmoid sinus dural arteriovenous fistula in a hybrid operating room: illustrative case |
title | Single-session hematoma removal and transcortical venous approach for coil embolization of an isolated transverse-sigmoid sinus dural arteriovenous fistula in a hybrid operating room: illustrative case |
title_full | Single-session hematoma removal and transcortical venous approach for coil embolization of an isolated transverse-sigmoid sinus dural arteriovenous fistula in a hybrid operating room: illustrative case |
title_fullStr | Single-session hematoma removal and transcortical venous approach for coil embolization of an isolated transverse-sigmoid sinus dural arteriovenous fistula in a hybrid operating room: illustrative case |
title_full_unstemmed | Single-session hematoma removal and transcortical venous approach for coil embolization of an isolated transverse-sigmoid sinus dural arteriovenous fistula in a hybrid operating room: illustrative case |
title_short | Single-session hematoma removal and transcortical venous approach for coil embolization of an isolated transverse-sigmoid sinus dural arteriovenous fistula in a hybrid operating room: illustrative case |
title_sort | single-session hematoma removal and transcortical venous approach for coil embolization of an isolated transverse-sigmoid sinus dural arteriovenous fistula in a hybrid operating room: illustrative case |
topic | Case Lesson |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9204917/ https://www.ncbi.nlm.nih.gov/pubmed/35734231 http://dx.doi.org/10.3171/CASE2267 |
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