Percutaneous transvenous embolization of transverse / sigmoid sinus dural arteriovenous fistula through the mastoid emissary vein: Case report

Masafumi Hiramatsu, Kenji Sugiu, Koji Tokunaga, Ayumi Nishida, Hitoshi Hayase, Yasuyuki Miyoshi, Kenjiro Fujiwara, Minoru Nakagawa, Isao Date

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: Percutaneous transvenous embolization (TVE) of a transverse/sigmoid sinus dural arteriovenous fistula (TS/SS dAVF) through the mastoid emissary vein (MEV) is reported. Case presentation: A 46-year-old man was admitted to our hospital for cerebral venous infarction. Angiography revealed left TS/SS dAVF with isolated sinus and retrograde cortical venous reflux. Transarterial embolization resulted in successful reduction of the shunt flow and improvement of the clinical symptoms. Transvenous approach through the occluded dural sinus into the affected sinus failed. Direct puncture of the dilated occipital vein was then performed, and TVE using coils was performed successfully through the MEV. This procedure resulted in complete disappearance of the dAVF. Conclusion: This technique is a simple and good alternative treatment in patients for whom conventional approach to the isolated sinus is difficult to adopt, if there is the drainage of the dilated mastoid emissary vein.

Original languageEnglish
Pages (from-to)112-117
Number of pages6
JournalJournal of Neuroendovascular Therapy
Volume3
Issue number2
DOIs
Publication statusPublished - 2009
Externally publishedYes

Keywords

  • dural arteriovenous fistula
  • isolated sinus
  • mastoid emissary vein
  • occipital vein
  • percutaneous transvenous embolization

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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