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Combined transarterial and transvenous embolization of anterior cranial fossa dural arteriovenous fistula

Sugihara, Masahiro Fujita, Atsushi Ikeuchi, Yusuke Hori, Tatsuo Kohta, Masaaki Tanaka, Kazuhiro Kimura, Hidehito Sasayama, Takashi 神戸大学

2023.08.04

概要

【Background】Excessive glue injection into the drainage vein in patients with dural arteriovenous fistula (dAVF) can result in venous obstruction. We performed transarterial embolization (TAE) combined with transvenous embolization (TVE) with coils to prevent the glue from migrating into the normal cortical veins. 【Case Description】A 57-year-old man was pointed out to have a Borden Type III anterior cranial fossa dAVF during a check-up for putaminal hemorrhage. Because a left frontal normal cortical vein drained into the pathological drainage vein, excessive glue injection into the drainage vein may have caused venous obstruction. We performed TVE with coils at the foot of the draining vein to prevent excessive migration of glue into the drainer, followed by TAE with glue. With this technique, complete obliteration of the shunt without venous ischemia was obtained. 【Conclusion】The combined treatment of TAE and TVE is effective in preventing venous ischemia caused by unintended migration of glue cast into the drainage vein.

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How to cite this article: Sugihara M, Fujita A, Ikeuchi Y, Hori T, Kohta M,

Tanaka K, et al. Combined transarterial and transvenous embolization

of anterior cranial fossa dural arteriovenous fistula. Surg Neurol Int

2023;14:277.

Disclaimer

The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy

or position of the Journal or its management. The information contained in this article should not be considered to be

medical advice; patients should consult their own physicians for advice as to their specific medical needs.

Surgical Neurology International • 2023 • 14(277) | 6

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