Details

Autor(en) / Beteiligte

• Mendes, George AC
• Caire, François
• Saleme, Suzana
• Ponomarjova, Sanita
• Mounayer, Charbel

Titel

Retrograde leptomeningeal venous approach for dural arteriovenous fistulas at foramen magnum

Ist Teil von

• Interventional neuroradiology, 2015-04, Vol.21 (2), p.244-248

Ort / Verlag

London, England: SAGE Publications

Erscheinungsjahr

2015

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• A 72-year-old man presented with sudden right homonymous hemianopsia. Work-up imaging revealed a left occipital haematoma and an arteriovenous fistula supplied by the meningeal branches to the clivus from the left vertebral artery (VA) with a rostral venous reflux into cortical veins. A microcatheter was advanced through brainstem veins into the venous collector. A compliant balloon was placed in the left VA facing the origin of feeders. The balloon was inflated to protect the vertebrobasilar circulation from embolic migration. Onyx was injected by the transvenous catheter. Control angiogram revealed exclusion of the lesion. Informed consent was obtained from the patient.