Navigation guided small craniectomy and direct cannulation of pure isolated sigmoid sinus for treatment of dural arteriovenous fistula
- Abstract
- Dural arteriovenous fistula (DAVF) is a rare condition affecting approximately 1.5% of 1,000,000 individuals annually. It frequently occurs in the transsigmoid and cavernous sinuses. An isolated sigmoid sinus is extremely rare and is treated by performing transfemoral transvenous embolization along the opposite transverse sinus. A 69-year-old woman presented with asymptomatic Borden type III/Cognard type III DAVF involving an isolated sigmoid sinus. She underwent a staged operation in which a navigation system was used to expose the sigmoid sinus in the operating room before transferring the patient to the angio suite for transvenous embolization. Various modalities have been used to treat DAVF, including surgical disconnection, transarterial embolization, transvenous embolization, and stereotactic radiosurgery. However, treating DAVF cases where the affected sinus is isolated can be challenging because an easily accessible surgical route may not be available. In this case, direct sinus cannulation and transvenous embolization were the most effective treatments.
- All Author(s)
- Jun Ho Shim
; Gi Yong Yun
; Jae-Min Ann
; Jong-Hyun Park
; Hyuk-Jin Oh
; Jai-Joon Shim
; Seok Mann Yoon
- Issued Date
- 2024
- Type
- Article
- Keyword
- Arteriovenous fistula; Central nervous system vascular malformations; Embolization; Onyx
- Publisher
- 대한뇌혈관외과학회
Korean Society of Cerebrovascular Surgeons
- ISSN
- 2234-8565
; 2287-3139
- Citation Title
- Journal of cerebrovascular and endovascular neurosurgery
- Citation Volume
- 26
- Citation Number
- 1
- Citation Start Page
- 71
- Citation End Page
- 78
- Language(ISO)
- eng
- DOI
- 10.7461/jcen.2023.E2023.05.009
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/3399
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