Pipeline embolization device as a standalone curative approach for recurrent sigmoid sinus DAVF.
Interv Neuroradiol
; : 15910199241282780, 2024 Sep 23.
Article
in En
| MEDLINE
| ID: mdl-39311021
ABSTRACT
Dural arteriovenous fistulas (dAVFs) can occur as complications after surgical procedures, especially following the resection of meningiomas near the dural sinus. This case report presents a 74-year-old male who developed a recurrent sigmoid dAVF following meningioma resection. Initially treated with transvenous embolization and middle meningeal artery embolization, the dAVF recurred with worsening clinical symptoms. Conventional treatment options, including sinus sacrifice and transarterial embolization, were unsuitable due to the critical role of the patient's dominant right sigmoid sinus in cerebral venous drainage. Consequently, a reconstructive approach was employed using a pipeline embolization device (PED) construct. The PED successfully occluded the dAVF while preserving the function of the sigmoid sinus. A follow-up angiogram confirmed stable occlusion and normalization of intracranial venous drainage. This case underscores the potential of flow diversion as a viable treatment option for dAVFs, particularly in scenarios where preserving venous sinus function is paramount.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Interv Neuroradiol
Journal subject:
NEUROLOGIA
/
RADIOLOGIA
Year:
2024
Type:
Article
Affiliation country:
United States