Percutaneous transvenous embolization of a dural arteriovenous fistula through a mastoid emissary vein. Technical note

Dennis J. Rivet, James K. Goddard, Keith M. Rich, Colin P. Derdeyn

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Definitive endovascular treatment of dural arteriovenous fistulas (DAVFs) requires obliteration of the site of the fistula: either the diseased dural sinus or the pial vein. Access to this site is often limited by occlusion of the sinus proximal and distal to the segment containing the fistula. The authors describe a technique in which the mastoid emissary vein is used to gain access to a Borden-Shucart Type II DAVF in the transverse-sigmoid sinus. Recognition of this route of access, if present, may facilitate endovascular treatment of these lesions. Access to the transverse sinus via this approach can be straightforward and may be underused.

Original languageEnglish
Pages (from-to)636-639
Number of pages4
JournalJournal of neurosurgery
Volume105
Issue number4
DOIs
StatePublished - 2006

Keywords

  • Dural arteriovenous fistula
  • Endovascular embolization
  • Mastoid emissary vein
  • Percutaneous transvenous therapy
  • Venous sinus thrombosis

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