scholarly journals Efficacy and Limitations of Transarterial Acrylic Glue Embolization for Intracranial Dural Arteriovenous Fistulas

2015 ◽  
Vol 55 (2) ◽  
pp. 163-172 ◽  
Author(s):  
Naoko MIYAMOTO ◽  
Isao NAITO ◽  
Tatsuya SHIMIZU ◽  
Yuhei YOSHIMOTO
Keyword(s):  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
Glue Embolization ◽  
Acrylic Glue

Transcranial puncture through the parietal and mastoid foramina for the treatment of dural fistulas

2007 ◽  
Vol 106 (5) ◽  
pp. 912-915 ◽  
Author(s):  
René Chapot ◽  
Jean-Pierre Saint-Maurice ◽  
Ana Paula Narata ◽  
André Rogopoulos ◽  
Jean-Jacques Moreau ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Complete Cure ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
Meningeal Arteries ◽  
Mastoid Foramen ◽  
Acrylic Glue ◽  
Endovascular Navigation

✓ In this report the authors describe the endovascular treatment of dural arteriovenous fistulas (DAVFs) through trans-cranial puncture of the feeding arteries. Four patients had DAVFs that were fed by occipital arteries (OAs) that supplied blood to the intracranial meningeal arteries via the transcranial branches and coursed through the parietal and mastoid foramina. Due to the excessive tortuosity of the OA, conventional endovascular navigation had failed in all cases. Transcranial puncture of the meningeal feeding arteries was performed through the parietal or mastoid foramen, allowing navigation with a microcatheter until the level of the shunts. Complete cure of the DAVF was attained in all patients after injection of acrylic glue.

Embolization strategies for intracranial dural arteriovenous fistulas with an isolated sinus: a single-center experience in 20 patients

2021 ◽  
pp. neurintsurg-2021-017652
Author(s):  
Eef J Hendriks ◽  
Jeremy Lynch ◽  
Saravana Kumar Swaminathan ◽  
Patrick Nicholson ◽  
Ronit Agid ◽  
...  
Keyword(s):  
Transarterial Embolization ◽  
Middle Meningeal Artery ◽  
Single Center ◽  
Arteriovenous Fistulas ◽  
Single Center Experience ◽  
Treatment Techniques ◽  
Dural Arteriovenous Fistulas ◽  
Open Surgical Procedure ◽  
Glue Embolization ◽  
Angiographic Findings

BackgroundIntracranial dural arteriovenous fistulas (DAVFs) draining into an isolated sinus segment constitute a specific entity within the spectrum of cranial dural AV shunts, with under-reporting of their optimal treatment.ObjectiveTo describe the multimodal treatment approach to isolated sinus DAVFs in a large single-center cohort.MethodsRetrospective analysis of adult patients with an isolated sinus DAVF treated at our institution between 2004 and 2020 was performed. Cases were analyzed for demographics, clinical presentation, angiographic findings, treatment techniques, angiographic and clinical outcomes, and complications.ResultsOf 317 patients with DAVFs, 20 (6.3%) with an isolated sinus DAVF underwent treatment. Transarterial embolization was performed through the middle meningeal artery in 9 of 12 procedures, with a success rate of 66.7%. Transarterial glue embolization proved successful in two of five procedures (40%) and Onyx in six of seven procedures (85.7%). Transvenous embolization (TVE) with navigation via the occlusion into the isolated sinus was successful in seven out of nine procedures (77.8%). All three open TVE and one pure open surgical procedure gained complete closure of the fistula. There were two major complications. Complete occlusion of the fistula was eventually obtained in all cases (100%).ConclusionsIsolated sinus DAVFs are always aggressive and require a multimodal approach to guarantee closure of the shunt. Transarterial treatment with Onyx achieves good results. Transvenous treatment appears equally successful, navigating into the occluded segment across the occlusion or via burr hole as backup.

scholarly journals Intracranial Dural Arteriovenous Fistula Presenting with Tetraparesis Due to Cervicomedullary Junction Compression

2004 ◽  
Vol 10 (4) ◽  
pp. 347-351 ◽  
Author(s):  
S.M. Chng ◽  
Y.Y. Sitoh ◽  
F. Hui
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Venous Drainage ◽  
Foramen Magnum ◽  
Venous Hypertension ◽  
Good Reduction ◽  
Arteriovenous Fistulas ◽  
Cervicomedullary Junction ◽  
Dural Arteriovenous Fistulas ◽  
Glue Embolization

Cranial dural arteriovenous fistulas (DAVFs) may give rise to myelopathy due to spinal perimedullary venous drainage causing intramedullary venous hypertension. Such cases are uncommon but not rare, with several cases reported in the literature. We report a case of foramen magnum DAVF presenting with symptoms of tetraparesis. The unusual feature was that in this case it was due to compression of the cervicomedullary junction by a large venous pouch rather than the result of spinal perimedullary venous hypertension. Transarterial glue embolization achieved good reduction of flow in the fistula with shrinkage of the venous pouch and corresponding clinical improvement.

Surgical Management of Transosseous Dural Arteriovenous Fistulas in the Region of the Jugular Foramen

Skull Base ◽  
2005 ◽  
Vol 15 (S 2) ◽  
Author(s):  
Wuttipong Tirakotai ◽  
C. Kappus ◽  
B. Krischek ◽  
U. Sure ◽  
H. Bertalanffy
Keyword(s):  
Surgical Management ◽  
Jugular Foramen ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas

Gamma Knife surgery for low-flow cavernous sinus dural arteriovenous fistulas

2010 ◽  
Vol 113 (Special_Supplement) ◽  
pp. 21-27 ◽  
Author(s):  
Hyun Ho Jung ◽  
Jong Hee Chang ◽  
Kum Whang ◽  
Jin Soo Pyen ◽  
Jin Woo Chang ◽  
...  
Keyword(s):  
Gamma Knife ◽  
Cavernous Sinus ◽  
Transarterial Embolization ◽  
Gamma Knife Surgery ◽  
Low Flow ◽  
Close Monitoring ◽  
Arteriovenous Fistulas ◽  
Ocular Symptoms ◽  
Dural Arteriovenous Fistulas

Object The purpose of this study was to assess the efficacy of Gamma Knife surgery (GKS) for treating cavernous sinus dural arteriovenous fistulas (CSDAVFs). Methods Of the 4123 GKSs performed between May 1992 and March 2009, 890 procedures were undertaken to treat vascular lesions. In 24 cases, the vascular lesion that was treated was a dural arteriovenous fistula, and in 6 of these cases, the lesion involved the cavernous sinus. One of these 6 cases was lost to follow-up, leaving the other 5 cases (4 women and 1 man) to comprise the subjects of this study. All 5 patients had more than 1 ocular symptom, such as ptosis, chemosis, proptosis, and extraocular movement palsy. In all patients, CSDAVF was confirmed by conventional angiography. Three patients were treated by GKS alone and 2 patients were treated by GKS combined with transarterial embolization. The median follow-up period after GKS in these 5 cases was 30 months (range 9–59 months). Results All patients experienced clinical improvement, and their improvement in ocular symptoms was noticed at a mean of 17.6 weeks after GKS (range 4–24 weeks). Two patients received embolization prior to GKS but did not display improvement in ocular symptoms. An average of 20 weeks (range 12–24 weeks) was needed for complete improvement in clinical symptoms. There were no treatment-related complications during the follow-up period. Conclusions Gamma Knife surgery should be considered as a primary, combined, or additional treatment option for CSDAVF in selected cases, such as when the lesion is a low-flow shunt without cortical venous drainage. For those selected cases, GKS alone may suffice as the primary treatment method when combined with close monitoring of ocular symptoms and intraocular pressure.

Results of 1940 embolizations for dural arteriovenous fistulas: Japanese Registry of Neuroendovascular Therapy (JR-NET3)

2020 ◽  
Vol 133 (1) ◽  
pp. 166-173 ◽  
Author(s):  
Masafumi Hiramatsu ◽  
Kenji Sugiu ◽  
Tomohito Hishikawa ◽  
Shingo Nishihiro ◽  
Naoya Kidani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Data Extraction ◽  
Transarterial Embolization ◽  
Complication Rates ◽  
Multicenter Observational Study ◽  
Arteriovenous Fistulas ◽  
Emergency Procedures ◽  
Dural Arteriovenous Fistulas ◽  
Nature Frequency ◽  
Independent Risk Factors

OBJECTIVEEmbolization is the most common treatment for dural arteriovenous fistulas (dAVFs). A retrospective, multicenter observational study was conducted in Japan to clarify the nature, frequency, and risk factors for complications of dAVF embolization.METHODSPatient data were derived from the Japanese Registry of Neuroendovascular Therapy 3 (JR-NET3). A total of 40,169 procedures were registered in JR-NET3, including 2121 procedures (5.28%) in which dAVFs were treated with embolization. After data extraction, the authors analyzed complication details and risk factors in 1940 procedures performed in 1458 patients with cranial dAVFs treated with successful or attempted embolization.RESULTSTransarterial embolization (TAE) alone was performed in 858 cases (44%), and transvenous embolization (TVE) alone was performed in 910 cases (47%). Both TAE and TVE were performed in one session in 172 cases (9%). Complications occurred in 149 cases (7.7%). Thirty-day morbidity and mortality occurred in 55 cases (2.8%) and 16 cases (0.8%), respectively. Non–sinus-type locations, radical embolization as the strategy, procedure done at a hospital that performed dAVF embolization in fewer than 10 cases during the study period, and emergency procedures were independent risk factors for overall complications.CONCLUSIONSComplication rates of dAVF embolization in Japan were acceptable. For better results, the risk factors identified in this study should be considered in treatment decisions.

scholarly journals Endovascular Treatment for Tentorial Dural Arteriovenous Fistulas

2010 ◽  
Vol 38 (4) ◽  
pp. 235-242 ◽  
Author(s):  
Naoko MIYAMOTO ◽  
Isao NAITO ◽  
Shin TAKATAMA ◽  
Tomoyuki IWAI ◽  
Masahiro MATSUMOTO ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas

Two Unusual Cases of Multiple Dural Arteriovenous Fistulas

Neurosurgery ◽  
1997 ◽  
Vol 41 (1) ◽  
pp. 288-293 ◽  
Author(s):  
Mitsugu Nakamura ◽  
Norihiko Tamaki ◽  
Yoshie Hara ◽  
Tatsuya Nagashima
Keyword(s):  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas
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