Transvenous Embolization via the Mastoid Emissary Vein in a Patient with Multiple Hemorrhagic Dural Arteriovenous Fistulas

Hirofumi Iwahashi; Atsushi Fujita; Hirotomo Tanaka; Mitsuru Ikeda; Masashi Morikawa; Eiji Kohmura

doi:10.5797/jnet.cr.2016-0134

Case Reports

Transvenous Embolization via the Mastoid Emissary Vein in a Patient with Multiple Hemorrhagic Dural Arteriovenous Fistulas

Hirofumi Iwahashi, Atsushi Fujita, Hirotomo Tanaka, Mitsuru Ikeda, Masashi Morikawa, Eiji Kohmura

著者情報

キーワード: multiple dural arteriovenous fistulas, intracranial hemorrhage, mastoid emissary vein, transvenous embolization, transfemoral venous approach

ジャーナルオープンアクセス

2017 年 11 巻 10 号 p. 534-540

DOI https://doi.org/10.5797/jnet.cr.2016-0134

Browse “Advance online publication” version

詳細

抄録

Objective: We report a case of multiple dural arteriovenous fistulas (dAVFs) treated with transvenous embolization (TVE) via the mastoid emissary vein (MEV) using a transfemoral venous approach.

Case Presentation: A 52-year-old male presented with intracranial hemorrhage in the right frontal lobe. Diagnostic angiography showed multiple dAVFs of the right transverse sigmoid sinus and the superior sagittal sinus, both associated with cortical venous reflux. Transfemoral TVE of the dAVF of the right transverse sinus sigmoid sinus was performed via the MEV, followed by secondary TVE of the dAVF of the superior sagittal sinus. Complete obliteration of both lesions was achieved without complication.

Conclusion: The MEV is a useful access route for TVE in a patient with isolated dAVF of the transverse sigmoid sinus.

責任著者(Corresponding author)

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