Direct puncture of the superficial temporal artery for ethylene vinyl alcohol embolization of a type 3 arteriovenous fistula with a dual lumen balloon
| Autor: | Philippe Cornu, Stéphanie Lenck, Samuel Mouyal, Arnaud Pouvelle, Frédéric Clarençon, Eimad Shotar, Nader-Antoine Sourour, Kevin Premat |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Fistula Middle meningeal artery Arteriovenous fistula Lumen (anatomy) Punctures Balloon 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Dural arteriovenous fistulas medicine.artery medicine Humans Embolization Aged Central Nervous System Vascular Malformations business.industry General Medicine Superficial temporal artery medicine.disease Embolization Therapeutic Temporal Arteries Surgery Polyvinyls Neurology (clinical) Radiology business 030217 neurology & neurosurgery |
| Zdroj: | Journal of neurointerventional surgery. 13(5) |
| ISSN: | 1759-8486 |
| Popis: | Intracranial dural arteriovenous fistulas (dAVFs) may be difficult to treat by endovascular means, especially when the arterial feeders to the fistula are tortuous. 1 The usual main feeder to intracranial dAVFs is the middle meningeal artery, which may present very tight loops that are often difficult to cross with a microcatheter. 2 Direct puncture of a subcutaneous artery feeding the fistula indirectly via transosseous branches may be a valuable strategic option to overcome this limitation. 3 4 We report here the successful embolization of a Cognard type 3 parietal dAVF by direct puncture of the superficial temporal artery under roadmap guidance. The dAVF was subsequently embolized with ethylene vinyl alcohol via a dual lumen balloon, under balloon inflation. We highlight in this technical video 1 the potential difficulties and risks of direct puncture of the superficial temporal artery. We also stress the risk of delayed scalp necrosis using this technique. Video 1. |
| Databáze: | OpenAIRE |
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