Usefulness of a Curved Multiple Reconstruction Image for Transarterial Intravenous Coil Embolization of a Dural Arteriovenous Fistula of the Sphenobasal Vein: A Case Report

Hemorrhagic isolated dural arteriovenous fistulas (DAVFs) are often challenging to treat. Here, we report a case of the lateral cavernous sinus (CS) DAVF successfully treated by transarterial intravenous coil embolization using a curved multiplanar reconstruction (MPR) image assistance. A 54-year-ol...

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Published inNMC Case Report Journal Vol. 9; pp. 43 - 47
Main Authors OHSHIMA, Tomotaka, YOKOTA, Mao, OGURA, Koichiro, KOIWAI, Megumi, MATSUO, Naoki, MiYACHI, Shigeru
Format Journal Article
LanguageEnglish
Published Japan The Japan Neurosurgical Society 31.12.2022
Subjects
accessory meningeal artery
Case Report
curved multiplanar reconstruction
dural arteriovenous fistula
embolization
curved multiplanar reconstruction
dural arteriovenous fistula
embolization
accessory meningeal artery
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Abstract Hemorrhagic isolated dural arteriovenous fistulas (DAVFs) are often challenging to treat. Here, we report a case of the lateral cavernous sinus (CS) DAVF successfully treated by transarterial intravenous coil embolization using a curved multiplanar reconstruction (MPR) image assistance. A 54-year-old man presented with a severe headache and was diagnosed with subarachnoid hemorrhage caused by CSDAVF. Angiography indicated that the fistula was fed by branches of the left external carotid artery and drained into cortical veins. There were multiple shunting points at the left sphenobasal vein accompanied by varicose veins. Using curved MPR images, the left accessory meningeal artery was chosen for the endovascular approach into the affected veins, including ruptured varix. The shunt was completely occluded by detachable coils.When the curved MPR image indicates a developing feeding artery and a large shunting point, transarterial intravenous coil embolization becomes a good treatment option for CSDAVF, which has no venous access.
AbstractList Hemorrhagic isolated dural arteriovenous fistulas (DAVFs) are often challenging to treat. Here, we report a case of the lateral cavernous sinus (CS) DAVF successfully treated by transarterial intravenous coil embolization using a curved multiplanar reconstruction (MPR) image assistance. A 54-year-old man presented with a severe headache and was diagnosed with subarachnoid hemorrhage caused by CSDAVF. Angiography indicated that the fistula was fed by branches of the left external carotid artery and drained into cortical veins. There were multiple shunting points at the left sphenobasal vein accompanied by varicose veins. Using curved MPR images, the left accessory meningeal artery was chosen for the endovascular approach into the affected veins, including ruptured varix. The shunt was completely occluded by detachable coils. When the curved MPR image indicates a developing feeding artery and a large shunting point, transarterial intravenous coil embolization becomes a good treatment option for CSDAVF, which has no venous access.
Hemorrhagic isolated dural arteriovenous fistulas (DAVFs) are often challenging to treat. Here, we report a case of the lateral cavernous sinus (CS) DAVF successfully treated by transarterial intravenous coil embolization using a curved multiplanar reconstruction (MPR) image assistance. A 54-year-old man presented with a severe headache and was diagnosed with subarachnoid hemorrhage caused by CSDAVF. Angiography indicated that the fistula was fed by branches of the left external carotid artery and drained into cortical veins. There were multiple shunting points at the left sphenobasal vein accompanied by varicose veins. Using curved MPR images, the left accessory meningeal artery was chosen for the endovascular approach into the affected veins, including ruptured varix. The shunt was completely occluded by detachable coils. When the curved MPR image indicates a developing feeding artery and a large shunting point, transarterial intravenous coil embolization becomes a good treatment option for CSDAVF, which has no venous access.
ArticleNumber 2021-0293
Author OGURA, Koichiro
OHSHIMA, Tomotaka
KOIWAI, Megumi
MATSUO, Naoki
MiYACHI, Shigeru
YOKOTA, Mao
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2022 The Japan Neurosurgical Society.
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Keywords curved multiplanar reconstruction
dural arteriovenous fistula
embolization
accessory meningeal artery
Language English
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License.
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Notes Neuroendovascular Therapy Center, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan.
Corresponding author: Tomotaka Ohshima, MD, PhD
e-mail: tmtkoh@gmail.com
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SubjectTerms accessory meningeal artery
Case Report
curved multiplanar reconstruction
dural arteriovenous fistula
embolization
Title Usefulness of a Curved Multiple Reconstruction Image for Transarterial Intravenous Coil Embolization of a Dural Arteriovenous Fistula of the Sphenobasal Vein: A Case Report
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