Intracranial Non-Sinus-Type Dural Arteriovenous Fistulas Could Be Curable by Transarterial Embolization or Transvenous Embolization with Liquid Embolic Material.

Objective: Recently, the occlusion rate of transarterial embolization (TAE) for intracranial non-sinus-type dural arteriovenous fistulas (NSDAVFs) has improved after ONYX was introduced. Additionally, when TAE for NSDAVF is unsuccessful, transvenous embolization (TVE) has become available as an alternative treatment. We investigated the factor for the favorable occlusion rate of endovascular treatment for NSDAVF at our institutions. Methods: Two hundred and twenty-seven patients with intracranial dural arteriovenous fistulas (DAVFs) were treated at our institutions between September 2014 and October 2022. The patients diagnosed with NSDAVF in all DAVFs who underwent endovascular treatment were included. The clinical characteristics, angiographical outcomes, and clinical outcomes of patients who underwent endovascular treatment were evaluated. Results: Thirty-eight patients had intracranial NSDAVF (tentorial: 23 cases, parasagittal-convexity: 7, anterior cranial fossa: 6, middle cranial fossa: 2). Our participants' mean age was 64.8 ± 11.3 years, and 31 (81.6%) of them were males. Patients' symptoms were as follows: asymptomatic (24), hemorrhage (10), tinnitus (3), and trigeminal neuralgia (1). TAE and TVE were performed on 35 and 3 patients, respectively. The rate of immediate angiographical occlusion was 84.2% (32/38). The follow-up angiographical occlusion rate in 6 months was 88.5% (31/35). Complications occurred in three cases. There was no morbidity or mortality after 30 days. Conclusion: TAE using the combination of the new microcatheter and microguidewire and TVE in the case of difficult or failed TAE for NSDAVF could achieve high success rates and safety.

Intraosseous Arteriovenous Fistula Around the Anterior Condylar Confluence as an Occipital Bone Fracture Sequela.

BACKGROUND: Although traumatic dural arteriovenous fistula (AVF) is a rare condition, dural injury associated with skull fracture is one of the major factors for the formation of dural AVF at the skull fracture area. We report a case of de novo intraosseous AVF around the anterior condylar confluence after head injury associated with skull base fracture. CASE DESCRIPTION: A woman in her 70s presented with pulsatile tinnitus 3 months after cerebellar infarction and occipital bone fracture. The appearance of de novo intraosseous AVF was confirmed by magnetic resonance imaging and magnetic resonance angiography and treated with coil embolization, which led to symptomatic relief without recurrence on follow-up. CONCLUSIONS: There is no previous report to our knowledge of intraosseous AVF around the anterior condylar confluence proven to appear after skull fracture. This case demonstrates that head injury associated with skull base fracture could be one etiology of dural AVF around the anterior condylar confluence.

Preparation and characterization of conducting mixed-valence 9,9'-dimethyl-3,3'-bicarbazyl rectangular nanowires.

The facile synthesis of an organic electric conducting nanowire is described. The simple oxidation of 9-methylcarbazole by iron(III) perchlorate in a methanol/acetonitrile mixture under atmospheric pressure and temperature produces abundant nanowires without using a template. The nanowire consists of 9,9'-dimethyl-3,3'-dicarbazyl and has a rectangular nanowire shape with an average diameter of 397 ± 50 nm and length of 17 ± 5 µm. The results of the elemental analysis, (1)H NMR, FT-IR, XPS, and ESR measurements revealed that the chemical composition of the nanowire is (dicarbazyl)(0.12)(dicarbazylium·ClO(4)(-))(0.88)·H(2)O. This result, combined with the UV-vis-NIR measurement, demonstrates that 9,9'-dimethyl-3,3'-dicarbazyl stacks in a mixed valence state. The nanowire is electroactive and has an electric conductivity of 3.0 × 10(-5) S cm(-1).

Polycarbazole nanocomposites with conducting metal oxides for transparent electrode applications.

The preparation and characterization of conducting polycarbazole (PCz) hybrid films with a colorless transparency are described. They were prepared by the vacuum evaporation of tin, aluminum, or gallium onto anion-doped green-colored PCz films, or by applying gallium to the films, followed by their exposure to ambient air. The resultant hybrid films consisting of an undoped PCz backbone and metal compounds exhibited good transparencies (90-95% at a wavelength of 550 nm). The hybrid films have a specific cross-sectional structure in which the small regions of the metal compounds are dispersed in the PCz backbone. The hybridization reaction was mechanistically explained on the basis of the combination of a metal corrosion reaction and polymer dedoping reaction, which was successfully supported by the chemical analyses of the hybrid films. The electric conductivities of the hybrid films, measured by a four-point-probe method, ranged from 2.2 x 10(-4) to 6.0 x 10(-3) S cm(-1), which are considered to be the lowest limit because the use of the hybrid films as an electrochemical electrode reveals that a network of conductive paths is preferentially formed in the film thickness direction rather than in the in-plane direction.