A single burr hole approach for direct transverse sinus cannulation for the treatment of a dural arteriovenous fistula

Justin M. Caplan, Ian Kaminsky, Philippe Gailloud, Judy Huang

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)e5
JournalJournal of NeuroInterventional Surgery
Volume7
Issue number2
DOIs
StatePublished - Feb 1 2015

Keywords

  • Angiography
  • Brain
  • Coil
  • Fistula
  • Navigation

ASJC Scopus subject areas

  • Medicine(all)

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