Lv Xianli, Li Youxiang, Wu Zhongxue
Beijing Neurosurgical Institute, No. 6, Tiantan, Xili, 100050 Beijing, People's Republic of China.
Neuroradiology. 2008 May;50(5):433-7. doi: 10.1007/s00234-007-0346-6.
We describe the technique and results of the endovascular treatment of anterior cranial fossa dural arteriovenous fistulas (DAVF) in four symptomatic patients. Catheterization was via the superior sagittal sinus in two patients and via the ophthalmic artery in two patients. Embolization was performed using detachable platinum coils in the former two patients and a liquid embolic system (Onyx-18, MTI) in the latter. We were able to reach the fistula site and to embolize the arteriovenous shunting zone in all of the patients. The final angiogram showed complete occlusion of the DAVFs, and all patients recovered completely. No complications related to either approach were observed. Endovascular treatment of anterior cranial fossa DAVFs is feasible by either transvenous or transarterial access.
我们描述了4例有症状的前颅窝硬脑膜动静脉瘘（DAVF）患者的血管内治疗技术及结果。2例患者经上矢状窦插管，2例患者经眼动脉插管。前2例患者使用可脱性铂金圈进行栓塞，后2例患者使用液体栓塞系统（Onyx-18，MTI）进行栓塞。我们能够在所有患者中到达瘘口部位并栓塞动静脉分流区。最终血管造影显示DAVF完全闭塞，所有患者均完全康复。未观察到与任何一种入路相关的并发症。经静脉或经动脉入路对前颅窝DAVF进行血管内治疗都是可行的。
