Abstract
A 55-year-old woman with a symptomatic Borden II/Cognard IIa+b transverse sinus dural arteriovenous fistula underwent an attempted percutaneous transvenous embolization which was ultimately not possible given the fistula anatomy. She then underwent a partial percutaneous transarterial embolization but the fistula recurred. Given the failed percutaneous interventions, the patient underwent a combined open surgical/transvenous embolization using neuronavigation and a single burr hole craniectomy. She has remained symptom free for 3 months. This case report illustrates the feasibility of combining minimally invasive open surgical access to allow for direct venous cannulation for endovascular embolization of a dural arteriovenous fistula when traditional percutaneous methods are not an option.
Original language | English (US) |
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Pages (from-to) | e5 |
Journal | Journal of NeuroInterventional Surgery |
Volume | 7 |
Issue number | 2 |
DOIs | |
State | Published - Feb 1 2015 |
Keywords
- Angiography
- Brain
- Coil
- Fistula
- Navigation
ASJC Scopus subject areas
- General Medicine