Document Detail

Transvenous embolization for dural transverse sinus fistulas with occluded sigmoid sinus.
MedLine Citation:
PMID:  17700989     Owner:  NLM     Status:  MEDLINE    
Dural transverse sinus arteriovenous fistulas with cortical venous drainage were associated with a high hemorrhagic risk. Dural transverse sinus arteriovenous dural fistulas could be treated by embolization (transarterial or transvenous), surgery or a combination of both. Transvenous packing of the diseased sinus was considered to be a less invasive and effective method of treatment. Occluded sigmoid sinus proximally, especially cases with isolated transverse sinus, could make the transvenous approach difficult. Craniotomy for sinus packing or surgical excision remained the treatment of choice when the percutaneous transvenous approach was not feasible. We reviewed the techniques of transvenous embolization described in the literature and illustrated our techniques in two consecutive cases of transvenous embolization of the dural arteriovenous fistulas through the occluded sigmoid sinus. We concluded that transvenous embolization remains a safe and feasible technique other than surgery for patients with transverse sinus dural fistula, achieving a long-term occlusion of the pathology.
G K C Wong; W S Poon; S C H Yu; C X L Zhu
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2007-08-13
Journal Detail:
Title:  Acta neurochirurgica     Volume:  149     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2007  
Date Detail:
Created Date:  2007-08-27     Completed Date:  2007-10-30     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  929-35; discussion 935-6     Citation Subset:  IM    
Division of Neurosurgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
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MeSH Terms
Central Nervous System Vascular Malformations / radiography,  therapy*
Cerebral Angiography
Cranial Sinuses* / radiography
Embolization, Therapeutic / methods*
Feasibility Studies
Middle Aged

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