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

Michael R. Levitt, Joshua W. Osbun, John D. Nerva, Louis J. Kim*

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1
Number of pages1
JournalNeurosurgical Focus
Volume37
Issue numberV1 Supplement
DOIs
Publication statusPublished - Jul 2014
Externally publishedYes

Keywords

  • Arteriovenous fistula
  • Embolization
  • Endovascular
  • Onyx
  • video

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