J Cerebrovasc Endovasc Neurosurg.  2017 Jun;19(2):106-110. 10.7461/jcen.2017.19.2.106.

Fluoroscopy-guided Combined (Surgical/Endovascular) Treatment of Dural Arteriovenous Fistula

• Park SH
• Kim JH
• Chang CH
• Jung YJ

• KMID: 2393388
• DOI: http://doi.org/10.7461/jcen.2017.19.2.106

Abstract

For dural arteriovenous fistula (DAVF), when the usual endovascular or neurosurgical approaches are difficult to treat, multi-modal treatment can be helpful. We present a case of a 71-year-old woman with DAVF, who presented with an intracerebral haemorrhage. Digital subtraction angiography revealed a DAVF of the transverse sinus, with cortical venous reflux. Transvenous and transarterial approaches for coil embolization failed. In the operating room, a small craniotomy was performed, and coil embolization was done under fluoroscopy. Transcranial venous embolization might be a useful method to occlude DAVF in a case that is difficult to access by usual surgical or endovascular approaches.

Keyword

Arteriovenous fistula; Transverse sinuses; Endovascular procedures; Neurosurgical procedures

MeSH Terms

Aged
Angiography, Digital Subtraction
Arteriovenous Fistula
Central Nervous System Vascular Malformations*
Craniotomy
Embolization, Therapeutic
Endovascular Procedures
Female
Fluoroscopy
Humans
Methods
Neurosurgical Procedures
Operating Rooms
Transverse Sinuses