• World Neurosurg · Jan 2022

    Case Reports

    Transvenous embolization with ethylene vinyl alchol (EVOH) and arterial flow control of a dural arteriovenous fistula of the isolated transverse sinus.

    • Francesco Diana, Giulia Frauenfelder, Renato Saponiero, Giorgio Iaconetta, and Daniele Giuseppe Romano.
    • Department of Neuroradiology, A.O.U. San Giovanni di Dio e Ruggi d'Aragona, University of Salerno, Salerno, Italy. Electronic address: francesco.diana.md@gmail.com.
    • World Neurosurg. 2022 Jan 1; 157: 35.

    AbstractDural arteriovenous fistulas draining into an isolated sinus often require a multimodal treatment, with transarterial and transvenous approaches.1-6 However, there is no consensus about the injection technique. Some authors suggest filling the sinus with coils in order to have a compact cast without unnecessary migration of the embolic material. We present a case of a patient with left temporal hemorrhage caused by a dural arteriovenous fistula on the isolated left transverse sinus. In this operative video we demonstrate how the arterial flow control during treatment allows us to obtain a compact cast of the embolic material inside the isolated sinus without coils (Video 1).Copyright © 2021 Elsevier Inc. All rights reserved.

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