Simultaneous bilateral application of the Scepter mini balloon microcatheter for occlusion of ethmoidal dural arteriovenous fistulas.
| Autor: | Gravino G; Department of Neuroradiology, The Walton Centre for Neurology and Neurosurgery, Liverpool, United Kingdom., Pullicino R; Department of Neuroradiology, The Walton Centre for Neurology and Neurosurgery, Liverpool, United Kingdom., Puthuran M; Department of Neuroradiology, The Walton Centre for Neurology and Neurosurgery, Liverpool, United Kingdom., Edwards Y; Department of Neuroradiology, The Walton Centre for Neurology and Neurosurgery, Liverpool, United Kingdom., Yousaf J; Department of Neuroradiology, The Walton Centre for Neurology and Neurosurgery, Liverpool, United Kingdom.; Department of Neurosurgery, The Walton Centre for Neurology and Neurosurgery, Liverpool, United Kingdom., Chavredakis E; Department of Neuroradiology, The Walton Centre for Neurology and Neurosurgery, Liverpool, United Kingdom., Chandran A; Department of Neuroradiology, The Walton Centre for Neurology and Neurosurgery, Liverpool, United Kingdom. |
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| Jazyk: | angličtina |
| Zdroj: | World neurosurgery: X [World Neurosurg X] 2023 Dec 12; Vol. 21, pp. 100261. Date of Electronic Publication: 2023 Dec 12 (Print Publication: 2024). |
| DOI: | 10.1016/j.wnsx.2023.100261 |
| Abstrakt: | Ethmoidal dural arteriovenous fistulas are a rare entity accounting for 10 % of all dAVFs. 3-6 Haemorrhage occurs in up to 91 % of cases, which is a particularly high risk and warrants therapeutic intervention. 8-9 Endovascular treatment for these fistulas using the conventional detachable microcatheter technique is associated with certain limitations and risks; 8.3 % rate of incomplete obliteration and an 8.3 % rate of complications. Complications include reflux of liquid embolic agent, posterior ischaemic optic neuropathy, acute visual loss, and small subdural haematoma secondary to a micro-perforation. 8,10-12 We present our recent experience with the Scepter Mini Balloon Microcatheter for the endovascular treatment of ethmoidal dural arteriovenous fistulas in 3 patients, involving bilateral simultaneous inflation of the balloon. It demonstrates a novel application of this technology with good outcomes. It supports the use of this microcatheter in treating ethmoidal dural arteriovenous fistulas endovascularly, either as a first-line option or as an adjunct to surgery. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2023 The Authors.) |
| Databáze: | MEDLINE |
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