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
2021 Journal of Neuroendovascular Therapy  
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
more » ... . 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. Keywords▶ dural arteriovenous fistula, transarterial sinus coiling, accessory meningeal artery, middle meningeal artery This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License.
doi:10.5797/jnet.cr.2020-0080 fatcat:6blywuelizajhctc7k6rvhouz4