Turn-Back Embolization Technique for Effective Transvenous Embolization of Dural Arteriovenous Fistulas

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Turn-back embolization technique for effective transvenous embolization of dural arteriovenous fistulas.

For effective transvenous embolization of DAVFs, it is important to place coils at the shunting venous pouch in the initial step of the procedure. When it was difficult to navigate a microcatheter to the shunting venous pouch due to the anatomic relationship of approach routes with targeted pouches, we navigated the microcatheters by a "turn-back technique" within the involved sinuses into the ...

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Development of sigmoid dural arteriovenous fistulas after transvenous embolization of cavernous dural arteriovenous fistulas.

A 54-year-old woman presented with left proptosis, chemosis, ophthalmoplegia, and tinnitus in March 1989. Angiography demonstrated a left cavernous DA VF. The feeding arteries from the left external carotid artery were embolized. Her symptoms were relieved for a while but soon recurred . On May 2, she was referred to us for treatment. Angiography revealed that all the branches of the left exter...

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Transvenous embolization of dural fistulas involving the cavernous sinus.

Because of the risks associated with arterial embolization of cavernous dural fistulas, we have sought an alternative method to promote fistula closure. Thirteen patients underwent transvenous embolization as a treatment for symptomatic cavernous dural fistulas. All procedures were performed from a femoral vein access through the inferior petrosal sinus or basilar plexus. In five patients the i...

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The role of transvenous embolization in the treatment of intracranial dural arteriovenous fistulas.

OBJECTIVE To evaluate the role of transvenous embolization in the treatment of intracranial dural arteriovenous fistulas (DAVFs), including its efficacy and safety. METHODS We retrospectively studied the charts of 24 patients (21 women and 3 men) treated for an intracranial DAVF since 1990 in whom a transvenous approach was attempted either alone (16 patients) or in combination with arterial ...

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Embolization of dural arteriovenous fistulas with interlocking detachable coils.

Our clinical experience with interlocking detachable coils for the embolization of high-flow dural arteriovenous fistulas is reported. Interlocking detachable coils are useful for transarterial and transvenous embolizations of dural arteriovenous fistulas because (a) immediate coil detachment is possible, (b) the coils can be replaced easily, (c) detached coils rarely migrate, and (d) fewer int...

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ژورنال

عنوان ژورنال: American Journal of Neuroradiology

سال: 2011

ISSN: 0195-6108,1936-959X

DOI: 10.3174/ajnr.a2468