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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...

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Autores principales: Yamaguchi, Izumi, Kanematsu, Yasuhisa, Shimada, Kenji, Yamamoto, Nobuaki, Miyake, Kazuhisa, Miyamoto, Takeshi, Sogabe, Shu, Shikata, Eiji, Ishihara, Manabu, Yamamoto, Yuki, Kuroda, Kazutaka, Takagi, Yasushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2022
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.
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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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