Direct sinus packing with low radiation exposure in the hybrid operating room using navigation and indocyanine green angiography in the patient with isolated transverse-sigmoid sinus dural arteriovenous fistula: a case report

Abstract

We experienced a case of transverse-sigmoid sinus dural arteriovenous fistula (TSS-DAVF) with low radiation exposure using various devices. A 45-year-old woman with left temporal lobe hemorrhage was diagnosed with left TSS-DAVF. Using a navigation system and indocyanine green (ICG) angiography, sinus was punctured directly. DAVF disappeared by sinus packing without any complication. Direct puncture is a long-standing procedure, but now that various medical devices can be used, it is considered to be safer with low exposure and one of the options.