Double-lumen balloon for Onyx® embolization via extracranial arteries in transverse sigmoid dural arteriovenous fistulas: initial experience.

Détails

ID Serval
serval:BIB_91BCC90434E0
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Double-lumen balloon for Onyx® embolization via extracranial arteries in transverse sigmoid dural arteriovenous fistulas: initial experience.
Périodique
Acta neurochirurgica
Auteur(s)
Clarençon F., Di Maria F., Gabrieli J., Carpentier A., Pistochi S., Bartolini B., Zeghal C., Chiras J., Sourour N.A.
ISSN
0942-0940 (Electronic)
ISSN-L
0001-6268
Statut éditorial
Publié
Date de publication
10/2016
Peer-reviewed
Oui
Volume
158
Numéro
10
Pages
1917-1923
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Transverse-sigmoid dural arteriovenous fistulas (TS DAVFs) can be challenging to treat by endovascular means. Indeed, a total cure of the fistula can only be achieved when complete occlusion of the fistulous point(s) is obtained by penetration of the embolic agent. However, in some cases, especially for transosseous branches from extracranial arteries like the occipital artery (OcA) or the superficial temporal artery (STA), such penetration is usually poor, leading to major proximal reflux and incomplete fistula obliteration. We present three cases of embolization in two patients with TS DAVF through the OcA and/or the STA with Onyx® using a double-lumen balloon (Microvention, Tustin, CA, USA). This technique allows the penetration of the embolic agent in the transosseous branches by forming a counter-pressure with the inflated balloon. This technique may be useful to achieve complete occlusion of TS DAVFs by endovascular means.

Mots-clé
Double lumen balloon, Dural arteriovenous fistula, Embolization, Occipital artery, Onyx(R), Superficial temporal artery, Transverse sinus
Pubmed
Création de la notice
03/05/2017 12:44
Dernière modification de la notice
03/03/2018 19:29
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