Transarterial Sinus Coiling for Dural Arteriovenous Fistula: Two Case Reports

Kenji Shimada; Koichi Satoh; Natsumi Teshima; Izumi Yamaguchi; Takeshi Miyamoto; Shu Sogabe; Kazuhisa Miyake; Yoshitaka Kurashiki; Mami Hanaoka; Yasuhisa Kanematsu; Kazuhito Matsuzaki; Yasushi Takagi

doi:10.5797/jnet.cr.2020-0080

CASE REPORTS

Transarterial Sinus Coiling for Dural Arteriovenous Fistula: Two Case Reports

Kenji Shimada, Koichi Satoh, Natsumi Teshima, Izumi Yamaguchi, Takeshi Miyamoto, Shu Sogabe, Kazuhisa Miyake, Yoshitaka Kurashiki, Mami Hanaoka, Yasuhisa Kanematsu, Kazuhito Matsuzaki, Yasushi Takagi

Author information

Kenji Shimada
Department of Neurosurgery, Tokushima University, Tokushima, Tokushima, Japan
Koichi Satoh
Department of Neurosurgery, Tokushima Red Cross Hospital, Komatsushima, Tokushima, Japan
Natsumi Teshima
Department of Neurosurgery, Tokushima Red Cross Hospital, Komatsushima, Tokushima, Japan
Izumi Yamaguchi
Department of Neurosurgery, Tokushima University, Tokushima, Tokushima, Japan
Takeshi Miyamoto
Department of Neurosurgery, Tokushima University, Tokushima, Tokushima, Japan
Shu Sogabe
Department of Neurosurgery, Tokushima University, Tokushima, Tokushima, Japan
Kazuhisa Miyake
Department of Neurosurgery, Tokushima University, Tokushima, Tokushima, Japan
Yoshitaka Kurashiki
Department of Neurosurgery, Tokushima Red Cross Hospital, Komatsushima, Tokushima, Japan
Mami Hanaoka
Department of Neurosurgery, Tokushima Red Cross Hospital, Komatsushima, Tokushima, Japan
Yasuhisa Kanematsu
Department of Neurosurgery, Tokushima University, Tokushima, Tokushima, Japan
Kazuhito Matsuzaki
Department of Neurosurgery, Tokushima Red Cross Hospital, Komatsushima, Tokushima, Japan
Yasushi Takagi
Department of Neurosurgery, Tokushima University, Tokushima, Tokushima, Japan

Keywords: dural arteriovenous fistula, transarterial sinus coiling, accessory meningeal artery, middle meningeal artery

JOURNAL OPEN ACCESS

2021 Volume 15 Issue 6 Pages 380-386

DOI https://doi.org/10.5797/jnet.cr.2020-0080

Browse “Advance online publication” version

Details

Abstract

Objective: We report two cases of dural arteriovenous fistula (DAVF) treated by coil embolization of the affected sinus and fistula via a feeding artery instead of transvenous embolization (TVE) due to the difficulty of the transvenous approach.

Case Presentation: An 82-year-old man was diagnosed with transverse sinus (TS) DAVF. A microcatheter was inserted into the isolated TS through the fistula via the middle meningeal artery (MMA), which was the feeding artery of the DAVF. The DAVF was occluded by coil embolization of the isolated sinus and fistula. A 79-year-old man was diagnosed with cavernous sinus (CS) DAVF. A microcatheter was inserted into the CS through the fistula via an accessory meningeal artery (AMA), which was the feeding artery of the DAVF. The DAVF was occluded by coil embolization of the affected sinus and fistula.

Conclusion: These cases suggested that transarterial sinus coiling is one of the effective treatment options for DAVF.

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