Progression of unilateral moyamoya disease resulted in spontaneous occlusion of ipsilateral cavernous dural arteriovenous fistula: Case report

The pathogenic association between cavernous dural arteriovenous fistula (CDAVF) and moyamoya disease remains unclear. This unusual case is the first report of a progression of unilateral moyamoya disease resulting in the spontaneous occlusion of ipsilateral CDAVF. A 52-year-old woman presented with two-week spontaneous exophthalmos, chemosis and tinnitus, and cerebral angiography showed a right CDAVF coexisting with ipsilateral moyamoya disease. Transvenous approaches through the inferior petrosal sinus and facial vein were attempted but failed. However, a progression of the moyamoya disease and disappearance of the CDAVF were observed on one month follow-up angiogram in accordance with the resolution of clinical symptoms. This extremely rare coincidental presentation may have deeper pathogenic implications. This case report may give a clue to the underlying mechanism of the progression of moyamoya disease and occlusion of the CDAVF.

Download Full-text

Treatment of dural arteriovenous fistula using ethylene vinyl alcohol (Onyx) arterial embolization as the primary modality: short-term results

Journal of Neurosurgery ◽

10.3171/jns-07/12/1120 ◽

2007 ◽

Vol 107 (6) ◽

pp. 1120-1125 ◽

Cited By ~ 56

Author(s):

Andrew P. Carlson ◽

Christopher L. Taylor ◽

Howard Yonas

Keyword(s):

Arteriovenous Fistula ◽

Vinyl Alcohol ◽

Dural Arteriovenous Fistula ◽

Clinical Symptoms ◽

Arterial Embolization ◽

Primary Treatment ◽

Embolic Agent ◽

Ethylene Vinyl Alcohol ◽

Treatment Agent

Object A dural arteriovenous fistula (DAVF) typically involves meningeal feeding arteries and can cause clinical symptoms ranging from tinnitus to rupture of draining cortical or parenchymal veins. Surgical treatment may be technically demanding. Ethylene vinyl alcohol (Onyx, ev3 Neurovascular) has several properties that make it potentially useful as a primary treatment agent for DAVF. Onyx is expected to be a permanent embolic agent. It should have a decreased risk of catheter retention when compared with other permanent embolic materials. Methods The authors report a series of six patients with symptomatic DAVF who were treated initially with transarterial Onyx embolization and other endovascular techniques. Results Five patients had complete occlusion of their DAVF noted on the follow-up angiogram obtained between 2 and 4 months. One patient had residual filling via a small arterial branch that was stable on follow-up angiography. None of the patients had worsening of neurological function. One case was complicated by a retained catheter fragment. Conclusions Transarterial Onyx embolization and other endovascular methods can angiographically obliterate DAVF. In some cases, embolization allowed occlusion of multiple arterial feeding arteries from a single arterial injection. Technically, the embolization was optimized when a microcatheter position immediately adjacent to the point(s) of fistulization was achieved.

Download Full-text

A Case of Sigmoid Sinus Dural Arteriovenous Fistula after Treated Cavernous Dural Arteriovenous Fistula

Interventional Neuroradiology ◽

10.1177/15910199980040s145 ◽

1998 ◽

Vol 4 (1_suppl) ◽

pp. 219-222 ◽

Cited By ~ 8

Author(s):

T. Makiuchi ◽

K. Takasaki ◽

M. Yamagami ◽

H. Oda ◽

K. Todoroki ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Clinical Symptoms ◽

Sigmoid Sinus ◽

External Carotid ◽

Transvenous Embolization ◽

Superior Ophthalmic Vein ◽

Transfemoral Approach ◽

Sinus Wall

Transvenous embolization has been recommended recently as the primary treatment for symptomatic cavernous dural arteriovenous fistula(dural AVF). We present a case of sigmoid sinus dural AVF which developed after transvenous embolization of cavernous dural AVF A 43-year-old man was admitted to our hospital because of left conjunctival chemosis, exophthalmus and abducens nerve palsy. Cerebral angiograms showed left cavernous dural AVF fed by the bilateral internal and external carotid arteries and draining into the enlarged left superior ophthalmic vein. Transfemoral approach in the cavernous sinus via inferior petrosal sinus (IPS) was difficult because of the occlusive change of IPS. Then, direct canulation of the left superior ophthalmic vein and transvenous embolization using interlocking detachable coils (IDC) were performed. Dural AVF and clinical symptoms were disappeard rapidly after embolization. Six months later, follow-up cerebral angiograms showed development of a dural AVF in the left sigmoid sinus. The pathogenesis of dural AVF remains unclear. We suggest that injury to the sinus wall during endovascular procedures may have provoked the development of dural AVF in our case. Clinical and angiographical follow-up are important.

Download Full-text

SIMULTANEOUS UNILATERAL MOYAMOYA DISEASE AND IPSILATERAL DURAL ARTERIOVENOUS FISTULA

Neurosurgery ◽

10.1227/01.neu.0000333311.87554.9c ◽

2008 ◽

Vol 62 (6) ◽

pp. E1375-E1376 ◽

Cited By ~ 8

Author(s):

Brendan D. Killory ◽

L. Fernando Gonzalez ◽

Scott D. Wait ◽

Francisco A. Ponce ◽

Felipe C. Albuquerque ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Moyamoya Disease ◽

Dural Arteriovenous Fistula ◽

Unilateral Moyamoya Disease

Download Full-text

Moyamoya disease concurrent with dural arteriovenous fistula: A case report and literature review

Experimental and Therapeutic Medicine ◽

10.3892/etm.2020.9290 ◽

2020 ◽

Vol 20 (6) ◽

pp. 1-1

Author(s):

Kun Hou ◽

Yuhao Zhao ◽

Xuan Chen ◽

Kan Xu ◽

Jinlu Yu

Keyword(s):

Case Report ◽

Literature Review ◽

Arteriovenous Fistula ◽

Moyamoya Disease ◽

Dural Arteriovenous Fistula

Download Full-text

Cavernous sinus dural arteriovenous fistula treated by facial vein direct puncture: Case report and review of the literature

Interventional Neuroradiology ◽

10.1177/1591019917693413 ◽

2017 ◽

Vol 23 (3) ◽

pp. 301-306 ◽

Cited By ~ 1

Author(s):

Atsushi Matsumoto ◽

Masanobu Okauchi ◽

Atsushi Shindo ◽

Masahiko Kawanishi ◽

Takashi Tamiya

Keyword(s):

Case Report ◽

Arteriovenous Fistula ◽

Cavernous Sinus ◽

Dural Arteriovenous Fistula ◽

Inferior Petrosal Sinus ◽

Digital Subtraction ◽

Transvenous Embolization ◽

Review Of The Literature ◽

Direct Puncture ◽

Facial Vein

Introduction In case of cavernous sinus dural arteriovenous fistula (CSDAVF), transvenous embolization (TVE) of the cavernous sinus (CS) via the inferior petrosal sinus (IPS) is generally performed. However, various approach routes have been reported when the accessibility of the IPS is challenging. We herein report a case of CSDAVF treated by TVE with direct puncture of the facial vein. Case report A 70-year-old woman who suffered from tinnitus, chemosis, diplopia and bruit was referred to our hospital. Digital subtraction angiography (DSA) demonstrated CSDAVF. We initially attempted to perform TVE via the IPS route; however, we could not guide a catheter to the CS because of an anatomical difficulty. Then, we performed percutaneous direct puncture of the dilated facial vein, and successfully treated the patient. Conclusion When navigating microcatheter to the CS is difficult because of an anatomical difficulty of the IPS, direct puncture of the facial vein is a feasible route.

Download Full-text

Eight-year follow-up after palliative embolization of a neonatal intracranial dural arteriovenous fistula with high-output heart failure: management strategies for symptomatic fistula growth and bilateral femoral occlusions in pediatric patients

Journal of Neurosurgery Pediatrics ◽

10.3171/2010.9.peds10185 ◽

2010 ◽

Vol 6 (6) ◽

pp. 553-558 ◽

Cited By ~ 2

Author(s):

Adam S. Reig ◽

Scott D. Simon ◽

Wallace W. Neblett ◽

Robert A. Mericle

Keyword(s):

Case Report ◽

Arteriovenous Fistula ◽

Cardiac Failure ◽

Dural Arteriovenous Fistula ◽

Management Strategies ◽

Endovascular Embolization ◽

Embolic Agent ◽

Ethylene Vinyl Alcohol ◽

High Output

The authors report the 8-year follow-up of a patient previously described in the literature who originally presented in high-output cardiac failure secondary to a complex neonatal intracranial dural arteriovenous fistula (DAVF). The earlier case report described palliative treatment with a combination of extracorporeal membrane oxygenation (ECMO) and endovascular embolization for life-threatening high-output cardiac failure secondary to a DAVF. Access was obtained using the ECMO cannula, and embolization was performed while the patient was connected to the ECMO machine. The patient made an excellent recovery following partial embolization of the fistula, but then presented again 7 years later with worsening headaches secondary to significant growth of the known residual portion of the fistula identified on CT angiography. The child also developed bilateral femoral artery (FA) occlusions secondary to multiple previous FA punctures. To achieve complete obliteration of the remaining fistula, the patient required a retroperitoneal approach to the iliac artery and percutaneous puncture of the internal jugular vein. Embolization was performed with a combination of platinum coils and ethylene vinyl alcohol copolymer liquid embolic agent. There were no complications, and the child remains neurologically normal, with no signs of permanent cardiovascular sequelae. In this case report, the authors discuss the long-term management of AVFs treated by endovascular strategies early in life. After neonatal access, sometimes the FAs occlude, requiring more invasive access strategies. The authors also discuss the follow-up method, intervals, and threshold for further treatment for these lesions, and present a review of the literature.

Download Full-text

Micrus Coil Embolization of a Cavernous Sinus Dural Arteriovenous Fistula Through the Facial Vein: Case Report

Surgery for Cerebral Stroke ◽

10.2335/scs.38.353 ◽

2010 ◽

Vol 38 (5) ◽

pp. 353-357 ◽

Cited By ~ 1

Author(s):

Toshinori MATSUZAKI ◽

Takeshi SUMA ◽

Tadashi SHIBUYA ◽

Shin NAKAMURA ◽

Teruyasu HIRAYAMA ◽

...

Keyword(s):

Case Report ◽

Arteriovenous Fistula ◽

Cavernous Sinus ◽

Coil Embolization ◽

Dural Arteriovenous Fistula ◽

Facial Vein

Download Full-text

Metachronous Spinal Dural Arteriovenous Fistula: Case Report And Review Of Literature On Implications For Pathophysiology And Management

Interdisciplinary Neurosurgery ◽

10.1016/j.inat.2021.101181 ◽

2021 ◽

pp. 101181

Author(s):

Barton Waser ◽

Heath French ◽

Shivendra Lalloo ◽

Peter Mews

Keyword(s):

Case Report ◽

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Review Of Literature ◽

Spinal Dural Arteriovenous Fistula

Download Full-text

Retrieval of a migrated N-butyl-2 cyanoacrylate cast using a snare-kit system during dural AVF embolization: A case report

Interventional Neuroradiology ◽

10.1177/1591019918775957 ◽

2018 ◽

Vol 24 (5) ◽

pp. 571-573

Author(s):

Ramy Ahmed ◽

Satomi Ide ◽

Hiro Kiyosue ◽

Shuichi Tanoue ◽

Shunro Matsumoto ◽

...

Keyword(s):

Case Report ◽

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Endovascular Procedures ◽

Sigmoid Sinus ◽

Embolic Material ◽

Coagulation Profile ◽

Liquid Embolic

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.

Download Full-text