Cavernous Dural Arteriovenous Fistula (AVF): Angio-CT-Guided Fistula Site Localization

Author(s):  
Vipul Gupta
2015 ◽  
Vol 21 (2) ◽  
pp. 240-243
Author(s):  
Ramsey Ashour ◽  
Sachin Pandey ◽  
Mohammad Ali Aziz-Sultan

A transverse sinus dural arteriovenous fistula (DAVF) not easily accessible by standard transfemoral (transarterial or transvenous) endovascular approaches is presented. An enlarged transosseous retromastoid foramen harboring the occipital artery branch feeding the lesion was identified on CT angiogram (CTA). Curative Onyx embolization was achieved via percutaneous CT-guided direct puncture of the transosseous occipital arterial branch followed by microcatheter navigation through the needle distally towards the site of the fistula.


2019 ◽  
Vol 46 (Suppl_2) ◽  
pp. V5 ◽  
Author(s):  
Liyong Sun ◽  
Jian Ren ◽  
Hongqi Zhang

Craniocervical junction dural arteriovenous fistula (CCJDAVF) is a rare and unique type of intracranial DAVF with complex neurovascular anatomy, making it difficult to identify the arterialized vein during operation. The authors report the case of a 50-year-old male who presented with symptoms of venous hypertensive myelopathy. Angiography demonstrated a left CCJDAVF. The fistula was successfully disconnected via a suboccipital midline approach. The selective indocyanine green videoangiography (SICG-VA) technique was applied to distinguish the fistula site and arterialized vein from adjacent normal vessels. Favorable clinical and angiographic outcomes were attained. The detailed operative technique, surgical nuances, and utility of SICG-VA are illustrated in this video atlas.The video can be found here: https://youtu.be/GJYl_jOJQqU.


2005 ◽  
Vol 53 (4) ◽  
pp. 245
Author(s):  
Eun Ju Lee ◽  
Woong Yoon ◽  
Jeong Jin Seo ◽  
Sang Soo Shin ◽  
Hyo Soon Lim ◽  
...  

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Nur Setiawan Suroto

Spinal dural arteriovenous (AV) fistulas are the most commonly encountered vascular malformation of the spinal cord and a treatable cause for progressive paraplegia or tetraplegia. They most commonly affected are elderly men and are classically found in the thoracolumbar region.Symptoms gradually progress or decline in a stepwise manner and are commonly associated with pain and sphincter disturbances. Surgical or endovascular disconnection of the fistula has a high success rate with a low rate of morbidity. Motor symptoms are most likely to improve after treatment, followed by sensory disturbances, and lastly sphincter disturbances.


2021 ◽  
Vol 14 (1) ◽  
pp. e240483
Author(s):  
Rashid Ahmed ◽  
Carlos Lopez ◽  
Karan Philip ◽  
Grahame Gould

2021 ◽  
Vol 4 (1) ◽  
pp. 81-83
Author(s):  
Sharath Kumar Goddu Govindappa ◽  
Lakshminarayanapuram Gopal Viswanathan ◽  
Shashidhar Kallappa Parameshwarappa ◽  
Naveen Nayak ◽  
Sujit Kumar ◽  
...  

Intracerebral hemorrhage is a devastating form of stroke and is more common in patients with hypertension and renal disease. We present the case of a lady suffering from chronic kidney disease who presented with severe headache and aphasia. On evaluation, she was found to have an intraparenchymal hemorrhage in the left temporal lobe with prominent pial and dural veins suggestive of a dural arteriovenous fistula (DAVF). Subsequently, she was detected to have occlusion of the left brachiocephalic vein (LBCV), which resulted in venous hypertension and resulted in this rare complication. Angioplasty followed by stenting of the LBCV resulted in subsidence of her symptoms. We wish to highlight this unusual but treatable complication of limb AV fistula which can mimic intracranial DAVF.


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