Rapid ventricular pacing for flow control during transarterial Onyx embolization of tentorial dural arteriovenous fistulas

Eisaku Tsuji; Hideo Okada; Tomoaki Terada

doi:10.1136/bcr-2021-242833

Rapid ventricular pacing for flow control during transarterial Onyx embolization of tentorial dural arteriovenous fistulas

BMJ Case Rep. 2021 Aug 10;14(8):e242833. doi: 10.1136/bcr-2021-242833.

Authors

Eisaku Tsuji¹, Hideo Okada², Tomoaki Terada³

Affiliations

¹ Neurosurgery, Wakayama Medical University, Wakayama, Japan eisaku1975@gmail.com.
² Neurosurgery, Wakayama Rosai Byoin, Wakayama, Japan.
³ Neurosurgery, Showa University Fujigaoka Hospital, Yokohama, Japan.

Abstract

We report transarterial Onyx embolization with flow control using rapid ventricular pacing (RVP) in a middle-aged male patient with tentorial dural arteriovenous fistulas (TDAVFs). The patient completed angiographic obliteration in one session without any complications, and the 6-month postangiographic obliteration follow-up showed no evidence of residual or recurrent dural arteriovenous fistulas. RVP may be a novel treatment option of flow control to facilitate the embolic agent penetrating into the venous side and to achieve complete cure in transarterial embolization of TDAVFs.

Keywords: neurosurgery; stroke.

Publication types

Case Reports

MeSH terms

Central Nervous System Vascular Malformations* / diagnostic imaging
Central Nervous System Vascular Malformations* / therapy
Dimethyl Sulfoxide
Embolization, Therapeutic*
Humans
Male
Middle Aged
Polyvinyls
Retrospective Studies
Treatment Outcome

Substances

Polyvinyls
Dimethyl Sulfoxide