• World Neurosurg · Jul 2019

    Case Reports

    Percutaneous Transverse Sinus Cannulation for Dural Arteriovenous Fistula Coiling: Operative Video.

    • Georgios A Maragkos, Abdulrahman Y Alturki, Patricia E Greenstein, Alejandro Enriquez-Marulanda, Kimberly J Kicielinski, Justin M Moore, Christopher S Ogilvy, and Ajith J Thomas.
    • Neurosurgery Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
    • World Neurosurg. 2019 Jul 1; 127: 335.

    AbstractThis is the case of an 84-year old woman, found to have a symptomatic transverse sinus dural arteriovenous fistula. The transverse sinus was isolated from all venous circulation and its arterial feeders stemmed from the occipital artery, precluding both arterial and venous access for effective obliteration of the fistula. Therefore the patient underwent a combined open surgical/endovascular approach, where the sinus was percutaneously cannulated through a single burr hole, allowing access for effective coiling of the fistula. In this video, we present the rationale, feasibility, and technical implications for this procedure.1.Copyright © 2019 Elsevier Inc. All rights reserved.

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