A single burr hole approach for direct transverse sinus cannulation for the treatment of a dural arteriovenous fistula. (15th January 2014)

• Record Type: Journal Article
• Authors: Caplan, Justin M; Kaminsky, Ian; Gailloud, Philippe; Huang, Judy
• Is Part Of: Journal of neurointerventional surgery. Volume 7:Number 2(2015)
• Page Start: e5
• Page End: e5
• Publication Date: 2014-01-15
• Subjects: Angiography -- Brain -- Coil -- Fistula -- Navigation; Nervous system -- Surgery -- Periodicals; Cerebrovascular disease -- Surgery -- Periodicals; 617.48
• DOI: 10.1136/neurintsurg-2013-011011.rep
• Languages: English
• ISSNs: 1759-8478

Abstract

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.