Endovascular treatment of anterior cranial fossa dural arteriovenous fistula

Neuroradiology. 2008 May;50(5):433-7. doi: 10.1007/s00234-007-0346-6.

Abstract

We describe the technique and results of the endovascular treatment of anterior cranial fossa dural arteriovenous fistulas (DAVF) in four symptomatic patients. Catheterization was via the superior sagittal sinus in two patients and via the ophthalmic artery in two patients. Embolization was performed using detachable platinum coils in the former two patients and a liquid embolic system (Onyx-18, MTI) in the latter. We were able to reach the fistula site and to embolize the arteriovenous shunting zone in all of the patients. The final angiogram showed complete occlusion of the DAVFs, and all patients recovered completely. No complications related to either approach were observed. Endovascular treatment of anterior cranial fossa DAVFs is feasible by either transvenous or transarterial access.

MeSH terms

  • Aged
  • Angioplasty*
  • Central Nervous System Vascular Malformations / diagnostic imaging
  • Central Nervous System Vascular Malformations / therapy*
  • Cohort Studies
  • Cranial Fossa, Anterior
  • Dimethyl Sulfoxide / therapeutic use*
  • Embolization, Therapeutic*
  • Humans
  • Male
  • Middle Aged
  • Polyvinyls / therapeutic use*
  • Radiography
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Onyx copolymer
  • Polyvinyls
  • Dimethyl Sulfoxide