Document Detail


Transvenous approach to intracranial dural arteriovenous fistula (Cognard v): a treatment option. A case report.
MedLine Citation:
PMID:  21561567     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The endovascular technique is the gold standard treatment in dural arteriovenous fistulas. Due to the limited number of series published it is difficult to create rigid guidelines in terms of the best endovascular treatment approach. Treatment must be tailored to each particular case, but it is important to keep in mind that the possibility of treating a type V dAVF by the transvenous approach should not be discarded. In selected cases the transvenous approach may be helpful to increase the chance of success in the endovascular treatment of type V dAVF. We describe a patient in whom the first arterial treatment failed to achieve occlusion of the fistulous point with the glue. Clinical symptoms improved due to the diminished flow at the fistula after the first embolization but as soon as collateral arteries were recruited by the fistula, spinal cord venous drainage impairment led to symptoms recurrence. Transvenous access allowed us to close the fistula completely in one only session with a complete disappearance of the pathologically inverted perimedullary venous flow.
Authors:
S Aixut Lorenzo; S Aiuxut Lorenzo; A Tomasello Weitz; J Blasco Andaluz; L Sanroman Manzanera; J M Macho Fernández
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-04-29
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  17     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-05-12     Completed Date:  2011-07-12     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  108-14     Citation Subset:  IM    
Affiliation:
Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. saixut@yahoo.es
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MeSH Terms
Descriptor/Qualifier:
Aged
Central Nervous System Vascular Malformations / therapy*
Cerebral Angiography
Cerebral Arteries / radiography
Cerebral Veins* / radiography
Embolization, Therapeutic / methods*
Female
Humans
Medulla Oblongata / blood supply,  radiography
Retreatment
Tissue Adhesives / therapeutic use*
Chemical
Reg. No./Substance:
0/Tissue Adhesives
Comments/Corrections
Erratum In:
Interv Neuroradiol. 2012 Mar;18(1):114
Note: Aiuxut Lorenzo, S [corrected to Aixut Lorenzo, S]

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


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