Successful endovascular treatment of a deep cerebral arteriovenous fistula with unusual venous drainage

2008 ◽  
Vol 68 (2) ◽  
pp. e53-e58 ◽  
Author(s):  
Xianli Lv ◽  
Youxiang Li ◽  
Ming Lv ◽  
Aihua Liu ◽  
Zhongxue Wu
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Venous Drainage ◽  
Cerebral Arteriovenous Fistula

Endovascular Treatment of an Intracranial Dural Arteriovenous Fistula with Spinal Venous Drainage

1998 ◽  
Vol 4 (3) ◽  
pp. 241-246 ◽  
Author(s):  
R. Cruz ◽  
A. Stocker ◽  
J. Xavier ◽  
J. Almeida-Pinto
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Clinical Presentation ◽  
Venous Drainage ◽  
Hyperintense Signal ◽  
Type V ◽  
Progressive Paraparesis ◽  
T2 Weighted Images

A case of type V intracranial dural arteriovenous fistula (DAVF) is reported because of its unusual rapidly progressive paraparesis. Despite this clinical presentation, the diagnosis of DAVF was made and precocious endovascular treatment was instituted. Angiographic normalization was obtained after embolisation and the patient significantly improved within the first weeks, although at the six month control MRI there still was a hyperintense signal of the cord in T2 weighted images, but less extensive than originally.

Endovascular treatment of complex dural arteriovenous fistula using the dual-microcatheter technique

2014 ◽  
Vol 37 (v1supplement) ◽  
pp. 1 ◽  
Author(s):  
Michael R. Levitt ◽  
Joshua W. Osbun ◽  
John D. Nerva ◽  
Louis J. Kim
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Venous Drainage ◽  
Jugular Bulb ◽  
Endovascular Embolization ◽  
Venous Hypertension ◽  
Lost To Follow Up ◽  
Onyx Copolymer

A 71-year-old woman presented with headache and dilated vessels on CTA. Angiography demonstrated a complex dural arteriovenous fistula with retrograde cortical venous hypertension, supplied by branches of internal and external carotids bilaterally into a fistulous pouch paralleling the left transverse and sigmoid sinuses, which was occluded at the jugular bulb. The patient refused treatment and was lost to follow-up, returning with sudden confusion and hemianopsia from left temporo-occipital hemorrhage. Transvenous endovascular embolization was performed using the dual-microcatheter technique with a combination of coiling and Onyx copolymer, completely occluding the sinus and fistula while preserving normal venous drainage.The video can be found here: http://youtu.be/u_4Oc7tSmDM.

scholarly journals Endovascular Treatment of a Dural Arteriovenous Fistula of the Transverse Sinus by Recanalisation, Angioplasty and Stent Deployment

2003 ◽  
Vol 9 (1) ◽  
pp. 65-69 ◽  
Author(s):  
W. Weber ◽  
B. Kis ◽  
J. Esser ◽  
P. Berlit ◽  
D. Kühne
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Clinical Symptoms ◽  
Venous Drainage ◽  
Venous Hypertension ◽  
Venous Reflux ◽  
Stent Deployment ◽  
Total Occlusion ◽  
Cortical Venous Reflux

We report the endovascular treatment of a 40-year-old woman with bilaterally thrombosed transverse sinuses and a dural arteriovenous fistula (DAVF) causing cortical venous reflux by recanalization, angioplasty and stent deployment of the occluded sinus segment followed by occlusion of the DAVF by stent deployment in the fistulous segment. By recanalization of the occluded sinus we re-established normal anterograde venous drainage and eliminated the venous hypertension and cortical venous reflux. After the procedure, the patient was treated with aspirin and clopidogrel for three months. A follow-up examination showed total occlusion of the DAVF, patency of the sinus and a complete resolution of the clinical symptoms.

scholarly journals Dural arteriovenous fistula in the sphenoid bone lesser wing region: Endovascular adjuvant techniques of treatment and literature review

2018 ◽  
Vol 24 (5) ◽  
pp. 559-566 ◽  
Author(s):  
Dmitriy V Kandyba ◽  
Konstantin N Babichev ◽  
Artem V Stanishevskiy ◽  
Arevik A Abramyan ◽  
Dmytriy V Svistov
Keyword(s):  
Literature Review ◽  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Venous Drainage ◽  
Sphenoid Bone ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
The Given ◽  
Balloon Protection

This article describes the successful endovascular treatment of a dural arteriovenous fistula of a rare localization (the area of sphenoid bone lesser region). We examine one report of an unusually located dural arteriovenous fistula successfully treated with Onyx (ev3, Irvine, USA) using a combination of endovascular adjuvant techniques: pressure cooker and remodeling balloon protection of cerebral artery. The article includes previously published observations of such fistulas and discusses anatomic features and venous drainage of dural arteriovenous fistulas in the given location.

Endovascular treatment of an infantile nongalenic cerebral arteriovenous fistula with cyanoacrylate

1995 ◽  
Vol 11 (8) ◽  
pp. 494-498 ◽  
Author(s):  
Marc Hermier ◽  
Francis Turjman ◽  
Andr� Bozio ◽  
Jean Duquesnel ◽  
Claude Lapras
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Cerebral Arteriovenous Fistula

CARDIAC COMPLICATIONS OF CEREBRAL ARTERIOVENOUS FISTULA IN INFANCY

PEDIATRICS ◽  
1962 ◽  
Vol 30 (4) ◽  
pp. 563-575
Author(s):  
O. Robert Levine ◽  
A. Gregory Jameson ◽  
Gerhard Nellhaus ◽  
Arnold P. Gold
Keyword(s):  
Cardiac Output ◽  
Arteriovenous Fistula ◽  
Venous Blood ◽  
Venous Drainage ◽  
Complete Removal ◽  
Arteriovenous Shunt ◽  
Cardiac Complications ◽  
Cardiac Image ◽  
Congenital Arteriovenous Malformation ◽  
Cerebral Arteriovenous Fistula

Four infants with congenital arteriovenous malformation of the vein of Galen are discussed, in each of whom there was clinical or roentgenographic evidence of cardiac involvement secondary to the arteriovenous shunt. Infant 1 was a neonate who presented solely with signs of severe circulatory congestion. The infant died at 48 hours of age despite therapy directed at relief of congestion and improvement of cardiac function. Infant 2 presented during infancy with roentgenographic evidence of cardiomegaly secondary to cerebral arteriovenous fistula. Chest roentgenograms showed decrease in size of the cardiac image after reduction of the fistula. Partial anomalous pulmonary venous drainage was an associated finding at autopsy. Infant 3 underwent operation for complete removal of a cerebral arteriovenous aneurysm, and died 7 hours postoperatively with clinical evidence of circulatory overloaded. In Case 4 cardiovascular studies were done prior to successful reduction of cerebral arteriovenous fistula, and were repeated 4 weeks postoperatively. The shunt was demonstrated by a marked elevation of oxygen saturation of internal jugular venous blood as compared with iliac venous blood; this discrepancy was markedly diminished after operation. Cardiac output was measured by the dye-dilution technique and postoperatively showed a 50% decrease as compared with the abnormally high preoperative determination. The hemodynamic effects of arteriovenous fistula are discussed. The precise mechanisms responsible for the compensatory increase in blood volume are incompletely understood. The increased cardiac output is accomplished by means of augmented stroke volume in accordance with the Starling law of the heart. While phlebotomy may appear to be indicated in an attempt to reduce the circulatory load resulting from a large arteriovenous shunt, it also deprives the patient of a homeostatic response useful in maintaining adequate perfusion distal to the shunt. Digitalis should be administered when myocardial failure contributes to circulatory congestion.

scholarly journals Prevalence of Tinnitus in Patients Diagnosed with Cerebral Arteriovenous Fistula Treated with Endovascular Technique

2021 ◽  
Author(s):  
Leandro José Haas ◽  
Bruno Rafael Sabel ◽  
Mateus Campestrini Harger ◽  
Julia Martins ◽  
Guilherme Voltolini Staedele ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Interventional Neuroradiology ◽  
Transverse Sinus ◽  
Common Symptom ◽  
Arteriovenous Fistulas ◽  
Patient Profile ◽  
Cerebral Arteriovenous Fistula ◽  
Flow Through ◽  
Careful Physical Examination

Abstract Introduction Tinnitus is characterized as the conscious and involuntary perception of sound, and it affects ∼ 30% of the population. Despite careful physical examination, the etiology of tinnitus can be established for only 30% of patients. Tinnitus is a common symptom of cerebral arteriovenous fistulas and results from increased blood flow through the dural venous sinuses, leading to turbulent arterial flow, mainly related to sigmoid and transverse sinus lesions. Objectives To analyze the frequency of tinnitus, patient profile, and endovascular treatment characteristics in individuals diagnosed with cerebral arteriovenous fistulas. Methods A retrospective and observational study based on reviewed data from medical records on the PHILIPS Tasy system (Philips Healthcare, Cambridge, MA, USA) at the neurosurgery and interventional neuroradiology service of Hospital Santa Isabel in Blumenau–state of Santa Catarina, Brazil. Results The profile of 68 individuals diagnosed with cerebral arteriovenous fistula who underwent endovascular treatment were analyzed. Most patients were female, aged 31 to 60. Tinnitus affected 18 individuals. Dural fistulas were the most prevalent in the sample, and computed tomography alone was the most used diagnostic method for initial investigation. Conclusion The prevalence of this symptom in patients diagnosed with cerebral arteriovenous fistula was found in 26.5% of this sample, mainly in women with associated comorbidities. Tinnitus remission was observed in all patients who underwent endovascular treatment to correct cerebral fistula.

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