Saura Pedro, Saura Javier, Pérez-Higueras Antonio, Martínez-Galdámez Mario
Department of Interventional Neuroradiology, FJD, Madrid, Spain.
Department of Interventional Neuroradiology, FJD, Madrid, Spain Interventional Neuroradiology, Radiology Department, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
J Neurointerv Surg. 2014 Sep;6(7):500-4. doi: 10.1136/neurintsurg-2013-010890. Epub 2013 Sep 2.
Intracranial dural arteriovenous fistulas with retrograde leptomeningeal or cortical drainage are considered aggressive. Conventional treatment in these cases is possible surgically or with endovascular arterial injections of Onyx or cyanoacrylate, but there are still some cases where distal navigation is not possible due to tortuosity of the arterial feeders. We present five cases of direct transforaminal Onyx embolization where endovascular distal navigation could not be achieved.
伴有逆行性软脑膜或皮质引流的颅内硬脑膜动静脉瘘被认为具有侵袭性。这些病例的传统治疗方法包括手术治疗或通过血管内动脉注射Onyx或氰基丙烯酸酯，但仍有一些病例由于供血动脉迂曲而无法进行远端导航。我们报告了5例无法实现血管内远端导航的经椎间孔直接Onyx栓塞病例。
