A Unique Type of Dural Arteriovenous Fistula at Confluence of Sinuses Treated with Endovascular Embolization: A Case Report
Dural arteriovenous fistula (DAVF) is classically defined as abnormal arteriovenous connections located within the dural leaflets. Though the exact etiology is still not clear, they are generally accepted as acquired lesions. However, some DAVFs formed as the congenital disorders are called dural ar...
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| Format: | Article |
| Language: | English |
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Korean Society of Interventional Neuroradiology
2013-02-01
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| Series: | Neurointervention |
| Subjects: | |
| Online Access: | http://neurointervention.org/upload/pdf/ni-8-34.pdf |
| _version_ | 1797334865049288704 |
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| author | Rahul Gupta Shigeru Miyachi Noriaki Matsubara Takashi Izumi Takehiro Naito Kenichi Haraguchi Toshihiko Wakabayashi |
| author_facet | Rahul Gupta Shigeru Miyachi Noriaki Matsubara Takashi Izumi Takehiro Naito Kenichi Haraguchi Toshihiko Wakabayashi |
| author_sort | Rahul Gupta |
| collection | DOAJ |
| description | Dural arteriovenous fistula (DAVF) is classically defined as abnormal arteriovenous connections located within the dural leaflets. Though the exact etiology is still not clear, they are generally accepted as acquired lesions. However, some DAVFs formed as the congenital disorders are called dural arteriovenous malformations and these lesions with a marked cortical venous reflux are considered to be aggressive and warrant an early intervention. The authors describe a case of 35-year-old man presented with unique type of DAVF. The fistula was located adjacent to the confluence of venous sinuses with multiple feeders. The feeders drained into a large venous pouch just anterior to the confluence which had a bilateral venous drainage. This was associated with multiple cerebellar venous ectasia along the draining cortical vein. It was managed by staged endovascular procedures and complete cure could be achieved. The pathogenesis and technique of embolization of this complex fistula/malformation are also discussed. |
| first_indexed | 2024-03-08T08:28:26Z |
| format | Article |
| id | doaj.art-6d6091814afe4301968e8531c429e1b5 |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T08:28:26Z |
| publishDate | 2013-02-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-6d6091814afe4301968e8531c429e1b52024-02-02T04:10:04ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732013-02-0181344010.5469/neuroint.2013.8.1.34205A Unique Type of Dural Arteriovenous Fistula at Confluence of Sinuses Treated with Endovascular Embolization: A Case ReportRahul Gupta0Shigeru Miyachi1Noriaki Matsubara2Takashi Izumi3Takehiro Naito4Kenichi Haraguchi5Toshihiko Wakabayashi6Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.Dural arteriovenous fistula (DAVF) is classically defined as abnormal arteriovenous connections located within the dural leaflets. Though the exact etiology is still not clear, they are generally accepted as acquired lesions. However, some DAVFs formed as the congenital disorders are called dural arteriovenous malformations and these lesions with a marked cortical venous reflux are considered to be aggressive and warrant an early intervention. The authors describe a case of 35-year-old man presented with unique type of DAVF. The fistula was located adjacent to the confluence of venous sinuses with multiple feeders. The feeders drained into a large venous pouch just anterior to the confluence which had a bilateral venous drainage. This was associated with multiple cerebellar venous ectasia along the draining cortical vein. It was managed by staged endovascular procedures and complete cure could be achieved. The pathogenesis and technique of embolization of this complex fistula/malformation are also discussed.http://neurointervention.org/upload/pdf/ni-8-34.pdfdural arteriovenous fistulaconfluence of sinusesembolizationcortical refluxvarix |
| spellingShingle | Rahul Gupta Shigeru Miyachi Noriaki Matsubara Takashi Izumi Takehiro Naito Kenichi Haraguchi Toshihiko Wakabayashi A Unique Type of Dural Arteriovenous Fistula at Confluence of Sinuses Treated with Endovascular Embolization: A Case Report Neurointervention dural arteriovenous fistula confluence of sinuses embolization cortical reflux varix |
| title | A Unique Type of Dural Arteriovenous Fistula at Confluence of Sinuses Treated with Endovascular Embolization: A Case Report |
| title_full | A Unique Type of Dural Arteriovenous Fistula at Confluence of Sinuses Treated with Endovascular Embolization: A Case Report |
| title_fullStr | A Unique Type of Dural Arteriovenous Fistula at Confluence of Sinuses Treated with Endovascular Embolization: A Case Report |
| title_full_unstemmed | A Unique Type of Dural Arteriovenous Fistula at Confluence of Sinuses Treated with Endovascular Embolization: A Case Report |
| title_short | A Unique Type of Dural Arteriovenous Fistula at Confluence of Sinuses Treated with Endovascular Embolization: A Case Report |
| title_sort | unique type of dural arteriovenous fistula at confluence of sinuses treated with endovascular embolization a case report |
| topic | dural arteriovenous fistula confluence of sinuses embolization cortical reflux varix |
| url | http://neurointervention.org/upload/pdf/ni-8-34.pdf |
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