Open AccessA Novel Approach for Transvenous Embolization of Dural Arteriovenous Fistula Using a Balloon and a Coil as Walls: Case Presentation
Author(s) -
Kenji Fukutome,
Shuta Aketa,
Tsukasa Nakajima,
Hiromichi Hayami,
Hodaka Sasaki,
Ryu Matsuoka,
Rinsei Tei,
Yasushi Shin,
Yasushi Motoyama
Publication year - 2022
Publication title -
case reports in vascular medicine
Language(s) - English
Resource type - Journals
eISSN - 2090-6986
pISSN - 2090-6994
DOI - 10.1155/2022/5164452
Subject(s) - medicine , arteriovenous fistula , balloon , shunt (medical) , radiology , embolization , angiography , fistula , electromagnetic coil , lesion , cerebral angiography , surgery , engineering , electrical engineering
Background. Transvenous embolization (TVE) for dural arteriovenous fistula (DAVF) is difficult depending on an accessible route. Reported herein is a case of transvenous embolization using a balloon and a coil as “walls.” Case Description. A 56-year-old male patient presented with a 1-month history of mild motor aphasia. The magnetic resonance imaging showed a hemorrhagic lesion in his left temporal lobe, and the cerebral angiography showed a DAVF, with parasinus shunt points near the torcula and the left transverse sinus. Access to the shunt point was very difficult; however, TVE was performed using a balloon as a wall. Furthermore, all lesion embolization was possible using a coil as a wall. Conclusions. Using a balloon or coil as a wall during a TVE is useful.