Tao Yihao, Niu Yin, Zhu Gang, Chen Zhi
Department of Neurosurgery, Southwest Hospital, Third Military Medical University, Chongqing, China.
Neurosciences (Riyadh). 2016 Apr;21(2):158-60. doi: 10.17712/nsj.2016.2.20150331.
Dural arteriovenous fistula (DAVFs) induced by trauma in the superior sagittal sinus (SSS) are rare and difficult to treat because of their unique midline location, multiplicity of arterial feeders, and critical venous drainage. We report a case of an endovascular treatment using dual lumen balloon microcatheter on a patient with post-traumatic SSS DAVF. By the use of dual lumen Scepter balloon microcatheter, proximal Onyx reflux was prevented. In this case, complete embolization of the DAVFs was achieved and the outcome of the patient was fairly good.
上矢状窦(SSS)创伤性硬脑膜动静脉瘘(DAVF)较为罕见,且因其独特的中线位置、动脉供血支的多样性以及关键的静脉引流,治疗难度较大。我们报告了1例使用双腔球囊微导管对创伤后SSS DAVF患者进行血管内治疗的病例。通过使用双腔Scepter球囊微导管,防止了近端Onyx反流。在该病例中,DAVF实现了完全栓塞,患者预后相当良好。