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Treatment of dural arteriovenous fistula by balloon-assisted transarterial embolization with Onyx.
- Source :
-
Clinical Neurology & Neurosurgery . 2013, Vol. 115 Issue 10, p1992-1997. 6p. - Publication Year :
- 2013
-
Abstract
- Objective: This study evaluated the feasibility, safety, and efficacy of embolization of dural arteriovenous fistula via a very small, short feeding artery with the assistance of a balloon placed proximal to the tip of the microcatheter, such that the balloon serves as a plug. Methods: Eight patients who underwent treatment of DAVF by balloon-assisted transarterial embolization with Onyx were retrospectively reviewed. Gender, age, angiography findings, procedure details, clinical and angiographic outcomes, complications, and follow-up were recorded and analyzed. Results: Nine embolization procedures were performed in eight male patients via extracranial arteries. Balloon-assisted embolization was successful in all eight patients. A Hyperglide balloon was used in five patients, and a Hyperform balloon was used in three patients. Angiographic resolution of the fistula was achieved in all patients without complications. All patients recovered uneventfully. During the follow-up period of 7-19 months, all patients were asymptomatic except for one patient who experienced mild headaches. Conclusions: Treatment of DAVF by balloon-assisted embolization with Onyx achieved promising results, even in patients with very small and short feeding arteries. This technique allowed the treatment of DAVF cases where other techniques have failed. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 03038467
- Volume :
- 115
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Clinical Neurology & Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 90456276
- Full Text :
- https://doi.org/10.1016/j.clineuro.2013.06.007