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Case Reports
Transarterial Onyx packing of the transverse-sigmoid sinus for dural arteriovenous fistulas.
- Chuhan Jiang, Xianli Lv, Youxiang Li, and Zhongxue Wu.
- Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, No. 6, Tiantan Xili, Chongwen, Beijing 100050, China.
- Eur J Radiol. 2011 Dec 1;80(3):767-70.
ObjectiveTo report transarterial Onyx packing of the transverse-sigmoid sinus for dural arteriovenous fistulae (DAVFs).MethodsWe retrospectively studied consecutive 5 patients (2 female and 3 male) treated for a transverse-sigmoid sinus DAVF since 2008 in whom transverse sinus packing was attempted with a transarterial approach Onyx embolization. The mean clinical follow-up period was 6.2 months.ResultsOf the five lesions, 2 fistulas were type IIa, 3 were type IIb, according to the Cognard classification. Five Onyx embolizations were all performed via the middle meningeal artery. Cure was obtained in all cases after completion of direct sinus packing. No complications were revealed.ConclusionsTransarterial Onyx packing of transverse-sigmoid sinus for DAVFs via the meningeal arterial system is a safe therapeutic alternative in selected cases.Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
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