scholarly journals Cerebral abscess as an unusual complication of coil embolization in a dural arteriovenous fistula

1997 ◽  
Vol 2 (4) ◽  
pp. E12
Author(s):  
Adnan Abd. Rahman Zurin ◽  
Satoshi Ushikoshi ◽  
Kiyohiro Houkin ◽  
Yoichi Kikuchi ◽  
Hiroshi Abe ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Transverse Sinus ◽  
Cerebral Abscess ◽  
Unusual Complication ◽  
Transvenous Embolization ◽  
Cortical Infarction ◽  
Retrograde Filling ◽  
Detachable Coils ◽  
The Right

This 63-year-old man presented with a right temporoparietal cortical infarction. A dural arteriovenous fistula involving the right transverse sinus was diagnosed on cerebral angiography. Transvenous embolization using detachable coils was performed; however, postembolization angiograms demonstrated retrograde filling of a cortical draining vein that was not seen on initial angiography. The patient subsequently developed a cerebral abscess in the region of the previous cortical infarction 2 months after the embolization. The abscess was successfully treated with drainage and antibiotic therapy. The authors report this case to illustrate an unusual complication associated with this procedure and the possible contribution of the cortical draining vein in the pathogenesis of the cerebral abscess.

Cerebral abscess as an unusual complication of coil embolization in a dural arteriovenous fistula

1997 ◽  
Vol 87 (1) ◽  
pp. 109-112 ◽  
Author(s):  
Adnan A. Rahman Zurin ◽  
Satoshi Ushikoshi ◽  
Kiyohiro Houkin ◽  
Yoichi Kikuchi ◽  
Hiroshi Abe ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Transverse Sinus ◽  
Cerebral Abscess ◽  
Unusual Complication ◽  
Content Type ◽  
Cortical Infarction ◽  
Retrograde Filling ◽  
Detachable Coils ◽  
The Right

This 63-year-old man presented with a right temporoparietal cortical infarction. A dural arteriovenous fistula involving the right transverse sinus was diagnosed on cerebral angiography. Transvenous embolization using detachable coils was performed; however, postembolization angiograms demonstrated retrograde filling of a cortical draining vein that was not seen on initial angiography. The patient subsequently developed a cerebral abscess in the region of the previous cortical infarction 2 months after the embolization. The abscess was successfully treated with drainage and antibiotic therapy. The authors report this case to illustrate an unusual complication associated with this procedure and the possible contribution of the cortical draining vein in the pathogenesis of the cerebral abscess.

Gradual dilatation of an occluded transverse sinus associated with dural arteriovenous fistula after balloon angioplasty with sinus packing: A case report

2021 ◽  
pp. 197140092110415
Author(s):  
Takuya Osuki ◽  
Hiroyuki Ikeda ◽  
Tomoko Hayashi ◽  
Silsu Park ◽  
Minami Uezato ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Balloon Angioplasty ◽  
Dural Arteriovenous Fistula ◽  
Executive Dysfunction ◽  
Venous Drainage ◽  
Transverse Sinus ◽  
Sigmoid Sinus ◽  
Shunt Flow ◽  
Symptomatic Epilepsy ◽  
The Right

Background There is no consensus as to whether balloon angioplasty alone or stent placement is effective for sinus occlusion associated with dural arteriovenous fistula (DAVF). Herein, we first report a case of transverse sinus occlusion associated with DAVF in which gradual sinus dilatation was observed after balloon angioplasty with embolization of the affected sinus with shunt flow. Case presentation A 69-year-old man presented with executive dysfunction. Magnetic resonance imaging revealed left transverse sinus–sigmoid sinus DAVF with occlusion of the left jugular vein and right transverse sinus. Before endovascular treatment, the patient had symptomatic epilepsy and subarachnoid hemorrhage. Retrograde leptomeningeal venous drainage disappeared with packing of the left transverse sinus–sigmoid sinus. Subsequently, balloon angioplasty of the right occluded transverse sinus was performed to maintain the normal venous drainage and remaining shunt outflow. Dilatation of the right transverse sinus was poor immediately after surgery. However, angiography after 10 days and 6 months revealed gradual dilatation of the right transverse sinus. Conclusion Sinus occlusion, which is thought to be caused by sinus hypertension associated with DAVF rather than chronic organized thrombosis or thrombophilia, may dilate over time after balloon angioplasty and shunt flow reduction if occluded sinus is necessary for facilitating normal venous drainage.

scholarly journals Transvenous embolization with a combination of detachable coils and Onyx for a complicated cavernous dural arteriovenous fistula

2008 ◽  
Vol 121 (17) ◽  
pp. 1651-1655 ◽  
Author(s):  
Hong-wei HE ◽  
Chu-han JIANG ◽  
Zhong-xue WU ◽  
You-xiang LI ◽  
Xian-li LÜ ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Transvenous Embolization ◽  
Detachable Coils

scholarly journals Dural Arteriovenous Fistulas: Unusual Access Routes in the Elderly

2005 ◽  
Vol 11 (4) ◽  
pp. 377-381 ◽  
Author(s):  
G. Andrade ◽  
R. Marques ◽  
N. Brito Pires ◽  
C. Abath
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Sinus Thrombosis ◽  
The Elderly ◽  
Venous Access ◽  
Transvenous Embolization ◽  
Superior Ophthalmic Vein ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
Detachable Coils

Transvenous embolization is effective in the treatment of an intracranial dural arteriovenous fistula (DAVF). Retrograde venous access to the fistula may be limited by associated sinus thrombosis, as in the two cases here reported. Unusual curative access routes were performed: direct superior ophthalmic vein puncture and through a small craniectomy, packing the sinus with detachable coils. When traditional routes proved impossible, unusual access routes must be devised.

scholarly journals Intercavernous Sinus Dural Arteriovenous Fistula Successfully Treated with Transvenous Embolization

2011 ◽  
Vol 17 (2) ◽  
pp. 208-211 ◽  
Author(s):  
I. Loumiotis ◽  
H. J. Cloft ◽  
G. Lanzino
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Interventional Procedure ◽  
External Carotid ◽  
Transvenous Embolization ◽  
Cerebral Angiogram ◽  
First Case ◽  
Residual Blood Flow ◽  
Residual Blood ◽  
The Right

The venous sinuses commonly found in the margins of the diaphragm and sella are venous interconnections between the bilateral cavernous dural sinuses and are termed intercavernous communications or intercavernous sinuses. They form a venous ring, a single “circular sinus” that extends throughout the skull base. We report the first case to our knowledge of an intercavernous sinus fistula. We emphasize the importance of thorough knowledge of lesion characteristics before considering any interventional procedure. An 84-year-old woman presented with alarming progressive orbital symptoms for one month affecting her left eye. A cerebral angiogram showed an intercavernous sinus fistula supplied by internal and external carotid arterial branches. Transvenous embolization through retrograde catheterization of the right inferior petrosal sinus allowed complete coil occlusion of the lesion. Cerebral angiography confirmed the absence of residual blood flow through the fistula. This report represents the first case of an intercavernous sinus dural arteriovenous fistula successfully treated with transvenous embolization. A detailed awareness of the regional anatomy is essential for treatment approach and favorable outcomes.

scholarly journals Endovascular Treatment for Dural Arteriovenous Fistula of the Anterior Condylar Confluence Involving the Anterior Condylar Vein

2008 ◽  
Vol 14 (3) ◽  
pp. 313-318 ◽  
Author(s):  
M. Abiko ◽  
F. Ikawa ◽  
N. Ohbayashi ◽  
T. Mitsuhara ◽  
N. Ichinose ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Rare Condition ◽  
Jugular Bulb ◽  
Craniocervical Junction ◽  
Source Image ◽  
Transvenous Embolization ◽  
First Case ◽  
The Right ◽  
Anterior Condylar Vein

Anterior condylar confluence (ACC) dural arteriovenous fistula (AVF) is a rare anomaly. We describe two cases of ACC dural AVF involving the anterior condylar vein that were successfully treated with selective transvenous coil embolization. The first patient presented with headache and right pulse-synchronous tinnitus, and demonstrated abnormal flow medial to the jugular bulb within the right hypoglossal canal on source image of magnetic resonance angiography (MRA). Arterioangiography disclosed a dural AVF in this area, supplied mainly by the meningeal branches of the bilateral ascending pharyngeal artery. We diagnosed ACC dural AVF involving the anterior condylar vein and transvenous embolization was successfully performed. The second patient presented with right pulse-synchronous tinnitus. Views of source image of MRA and arterioangiography were similar to the first case and, again, transvenous embolization was successfully performed. ACC dural AVF is a rare condition and knowledge of the anatomy of the venous system around the craniocervical junction is required for successful treatment.

Transvenous Embolization in Patients with Dural Arteriovenous Fistula

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