scholarly journals Direct sinus packing with low radiation exposure in the hybrid operating room using navigation and indocyanine green angiography in the patient with isolated transverse-sigmoid sinus dural arteriovenous fistula: a case report

Nosotchu ◽  
2021 ◽  
Author(s):  
Hiroshi Nakano ◽  
Tatsuya Ishikawa ◽  
Takayuki Funatsu ◽  
Koji Yamaguchi ◽  
Seiichiro Eguchi ◽  
...  
2018 ◽  
Vol 24 (5) ◽  
pp. 571-573
Author(s):  
Ramy Ahmed ◽  
Satomi Ide ◽  
Hiro Kiyosue ◽  
Shuichi Tanoue ◽  
Shunro Matsumoto ◽  
...  

N-butyl-2 cyanoacrylate (NBCA) is a liquid embolic material that is widely used in various endovascular procedures because of its permanent and rapid vascular occluding effect regardless of the coagulation profile of the patient. However, NBCA migration to unintended vessels may result in serious complications. This report describes the retrieval of a migrated NBCA cast from the transverse-sigmoid sinus during dural arteriovenous fistula embolization using a transvenous snaring technique.


2020 ◽  
Vol 81 (02) ◽  
pp. 185-187
Author(s):  
Gianpaolo Jannelli ◽  
Holger Joswig ◽  
Gianmarco Bernava ◽  
Torstein R. Meling ◽  
Philippe Bijlenga

Abstract Background A pial arteriovenous fistula (PAVF) is a rare neurovascular pathology consisting of a direct connection between one or more arterial feeders and a single venous channel. A PAVF was previously considered a subtype of an arteriovenous malformation (AVM). In the current literature these are distinguished as two independent entities with different clinical, physiopathologic, and structural characteristics. We report a case of a surgically treated 37-year-old woman with an extremely rare combination of an unruptured PAVF and AVM. Patient The AVM was mainly supplied by feeders of the middle cerebral artery and drained into the sigmoid sinus via an abnormally dilated and tortuous vein. Following its resection, intraoperative digital subtraction angiography (DSA) in the hybrid operating room revealed the presence of a PAVF that had not been noted during the preoperative planning. Hence the PAVF was completely disconnected as confirmed by DSA again. Conclusion This is the second reported case of an AVM-associated PAVF. Without the intraoperative DSA in the hybrid operating room, this unusual complex cerebrovascular entity would likely have been missed.


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