Transvenous Embolization with Ethylene Vinyl Alcohol and Arterial Flow Control of a Dural Arteriovenous Fistula of the Isolated Transverse Sinus.

Abstract

Dural arteriovenous fistulas draining into an isolated sinus often require a multimodal treatment, with transarterial and transvenous approaches.1-6 However, there is no consensus about the injection technique. Some authors suggest filling the sinus with coils in order to have a compact cast without unnecessary migration of the embolic material. We present a case of a patient with left temporal hemorrhage caused by a dural arteriovenous fistula on the isolated left transverse sinus. In this operative video we demonstrate how the arterial flow control during treatment allows us to obtain a compact cast of the embolic material inside the isolated sinus without coils (Video 1).

• Authors: Francesco Diana, Giulia Frauenfelder, Renato Saponiero, Giorgio Iaconetta, Daniele Giuseppe Romano
• Journal: World neurosurgery (World Neurosurg) Vol. 157 Pg. 35 (01 2022) ISSN: 1878-8769 [Electronic] United States
• PMID: 34626846 (Publication Type: Case Reports, Video-Audio Media)
• Copyright: Copyright © 2021 Elsevier Inc. All rights reserved.

Chemical References

• Polyvinyls
• ethylene-vinyl alcohol copolymer

Topics

• Central Nervous System Vascular Malformations (therapy)
• Combined Modality Therapy
• Embolization, Therapeutic (methods)
• Endovascular Procedures
• Humans
• Lateral Sinus Thrombosis (therapy)
• Male
• Middle Aged
• Polyvinyls
• Transverse Sinuses