Document Detail


Angiographic computed tomography with selective microcatheterization in delineating surgical anatomy in the case of a dural arteriovenous fistula. Technical note.
MedLine Citation:
PMID:  19361268     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intracranial dural arteriovenous fistulas (dAVFs) are commonly encountered in centers specializing in cerebrovascular diseases. Knowing the precise site of fistulous communication with the venous structures is essential in targeting the appropriate surgical or endovascular therapy once a decision to treat has been made. Such sites can usually be located with digital subtraction angiography alone. The authors describe a case in which localization was best performed using cone-beam volume CT in the angiography suite after selective microcatheterization of the feeding vessel and injection of a contrast agent in a dAVF related to the petrous temporal bone. Imaging studies showed the lesion was related to the inferior aspect of the tentorium, warranting a suboccipital surgical approach to treat the fistula.
Authors:
Muneer Eesa; Pranshu Sharma; Alim Pyarali Mitha; Garnette Roy Sutherland; Mayank Goyal
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  111     ISSN:  1933-0693     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-02     Completed Date:  2009-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  916-8     Citation Subset:  AIM; IM    
Affiliation:
Diagnostic Imaging Foothills Medical Centre, University of Calgary, Alberta, Canada. muneer.eesa@calgaryhealthregion.ca
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MeSH Terms
Descriptor/Qualifier:
Angiography / methods*
Arteriovenous Fistula / pathology*,  surgery*
Capillaries / radiography
Catheterization
Dura Mater / blood supply
Female
Headache / etiology
Humans
Middle Aged
Neurosurgical Procedures
Regional Blood Flow / physiology
Spinal Cord / blood supply*
Tomography, X-Ray Computed / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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