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Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx: a case series.
MedLine Citation:
PMID:  20730319     Owner:  NLM     Status:  In-Process    
METHOD: Nine patients with DAVFs with direct cortical venous drainage were treated: eight type IV and one type III (Cognard). Treatment consisted of transarterial embolization using Onyx-18. Immediate post treatment angiographies, clinical outcome and late follow-up angiographies were studied.
RESULTS: Complete occlusion of the fistula was achieved in all patients with only one procedure and injection in only one arterial pedicle. On follow-up, eight patients became free from symptoms, one improved and no one deteriorated. Late angiographies showed no evidence of recurrent DAVF.
CONCLUSION: We recommend that transarterial Onyx embolization of DAVFs with direct cortical venous drainage be considered as a treatment option, while it showed to be feasible, safe and effective.
Felipe Padovani Trivelato; Daniel Giansante Abud; Alexandre Cordeiro Ulhôa; Tiago de Jesus Menezes; Thiago Giansante Abud; Guilherme Seikem Nakiri; Benedicto Oscar Colli; Sebastião Nataniel Silva Gusmão; Marco Túlio Salles Rezende
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arquivos de neuro-psiquiatria     Volume:  68     ISSN:  1678-4227     ISO Abbreviation:  Arq Neuropsiquiatr     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0125444     Medline TA:  Arq Neuropsiquiatr     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  613-8     Citation Subset:  IM    
Division of Interventional Neuroradiology, Department of Neurosurgery, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
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