Skip to main content

Advertisement

SpringerLink
Log in

Transvenous balloon-assisted transarterial Onyx embolization of transverse–sigmoid dural arteriovenous malformation

  • Interventional Neuroradiology
  • Published:
Neuroradiology Aims and scope Submit manuscript

Abstract

Introduction

Endovascular treatment of dural arteriovenous malformation is challenging especially if the related dural venous sinus is patent and might be usable for normal venous drainage.

Methods

A new particular venous balloon remodeling technique was described in the treatment of transverse–sigmoid dural arteriovenous malformation by using transarterial Onyx. The goal was obliteration of the malformation with preservation of the dural sinus. Two illustrative cases with 6-month follow-up result were narrated.

Results

The penetration of Onyx in the dural arterial feeders was well achieved. Obliteration of the malformation with preservation of the dural sinus was finally demonstrated.

Conclusion

Transvenous balloon assistance is a useful and feasible technique in the treatment of dural arteriovenous malformation when sinus preservation is in concern.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Lucas Cde P, Mounayer C, Spelle L, Piotin M, Rezende MT, Moret J (2007) Endoarterial management of dural arteriovenous malformations with isolated sinus using Onyx-18: technical case report. Neurosurgery 61(5 Suppl 2):E293–E294. doi:10.1227/01.neu.0000303981.34622.39, discussion E294

    Article  PubMed  Google Scholar 

  2. Cognard C, Januel AC, Silva NA Jr, Tall P (2008) Endovascular treatment of intracranial dural arteriovenous fistulas with cortical venous drainage: new management using Onyx. AJNR Am J Neuroradiol 29(2):235–241. doi:10.3174/ajnr.A0817

    Article  PubMed  CAS  Google Scholar 

  3. Borden JA, Wu JK, Shucart WA (1995) A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg 82(2):166–179. doi:10.3171/jns.1995.82.2.0166

    Article  PubMed  CAS  Google Scholar 

  4. Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, Chiras J, Merland JJ (1995) Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194(3):671–680

    PubMed  CAS  Google Scholar 

  5. Awad IA, Little JR, Akarawi WP, Ahl J (1990) Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg 72(6):839–850. doi:10.3171/jns.1990.72.6.0839

    Article  PubMed  CAS  Google Scholar 

  6. Satomi J, van Dijk JM, Terbrugge KG, Willinsky RA, Wallace MC (2002) Benign cranial dural arteriovenous fistulas: outcome of conservative management based on the natural history of the lesion. J Neurosurg 97(4):767–770. doi:10.3171/jns.2002.97.4.0767

    Article  PubMed  Google Scholar 

  7. Cognard C, Houdart E, Casasco A, Gabrillargues J, Chiras J, Merland JJ (1997) Long-term changes in intracranial dural arteriovenous fistulae leading to worsening in the type of venous drainage. Neuroradiology 39(1):59–66

    Article  PubMed  CAS  Google Scholar 

  8. Gomez J, Amin AG, Gregg L, Gailloud P (2012) Classification schemes of cranial dural arteriovenous fistulas. Neurosurg Clin 23(1):55–62. doi:10.1016/j.nec.2011.09.003

    Article  Google Scholar 

  9. Kirsch M, Liebig T, Kuhne D, Henkes H (2009) Endovascular management of dural arteriovenous fistulas of the transverse and sigmoid sinus in 150 patients. Neuroradiology 51(7):477–483. doi:10.1007/s00234-009-0524-9

    Article  PubMed  CAS  Google Scholar 

  10. Roy D, Raymond J (1997) The role of transvenous embolization in the treatment of intracranial dural arteriovenous fistulas. Neurosurgery 40(6):1133–1141, discussion 1141-1134

    Article  PubMed  CAS  Google Scholar 

  11. Jiang C, Lv X, Li Y, Wu Z (2011) Transarterial Onyx packing of the transverse-sigmoid sinus for dural arteriovenous fistulas. Eur J Radiol 80(3):767–770. doi:10.1016/j.ejrad.2010.09.045

    Article  PubMed  Google Scholar 

  12. Nogueira RG, Dabus G, Rabinov JD, Eskey CJ, Ogilvy CS, Hirsch JA, Pryor JC (2008) Preliminary experience with onyx embolization for the treatment of intracranial dural arteriovenous fistulas. AJNR Am J Neuroradiol 29(1):91–97. doi:10.3174/ajnr.A0768

    Article  PubMed  CAS  Google Scholar 

  13. Lv X, Jiang C, Li Y, Liu L, Liu J, Wu Z (2011) The limitations and risks of transarterial Onyx injections in the treatment of grade I and II DAVFs. Eur J Radiol 80(3):e385–e388. doi:10.1016/j.ejrad.2010.08.029

    Article  PubMed  Google Scholar 

  14. Arat A, Cil BE, Vargel I, Turkbey B, Canyigit M, Peynircioglu B, Arat YO (2007) Embolization of high-flow craniofacial vascular malformations with onyx. AJNR Am J Neuroradiol 28(7):1409–1414. doi:10.3174/ajnr.A0547

    Article  PubMed  CAS  Google Scholar 

  15. Shi ZS, Loh Y, Duckwiler GR, Jahan R, Vinuela F (2009) Balloon-assisted transarterial embolization of intracranial dural arteriovenous fistulas. J Neurosurg 110(5):921–928. doi:10.3171/2008.10.JNS08119

    Article  PubMed  Google Scholar 

  16. Rezende MT, Piotin M, Mounayer C, Spelle L, Abud DG, Moret J (2006) Dural arteriovenous fistula of the lesser sphenoid wing region treated with Onyx: technical note. Neuroradiology 48(2):130–134. doi:10.1007/s00234-005-0020-9

    Article  PubMed  Google Scholar 

  17. Hamada Y, Goto K, Inoue T, Iwaki T, Matsuno H, Suzuki S, Matsushima T, Fukui M, Miyake E (1997) Histopathological aspects of dural arteriovenous fistulas in the transverse-sigmoid sinus region in nine patients. Neurosurgery 40(3):452–456, discussion 456-458

    PubMed  CAS  Google Scholar 

  18. Caragine LP, Halbach VV, Dowd CF, Ng PP, Higashida RT (2003) Parallel venous channel as the recipient pouch in transverse/sigmoid sinus dural fistulae. Neurosurgery 53(6):1261–1266, discussion 1266-1267

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

We declare that we have no conflict of interest.

Author information

Authors and Affiliations

  1. Interventional Neuroradiology–NEURI Center, Beaujon Hospital, 100 boulevard du General Leclerc, 92118, Clichy, France

    Pakrit Jittapiromsak, Léon Ikka, Nidhal Benachour, Laurent Spelle & Jacques Moret

  2. Universite Paris Diderot (Sorbonne Paris Cité), Paris, France

    Pakrit Jittapiromsak, Léon Ikka, Nidhal Benachour, Laurent Spelle & Jacques Moret

  3. Division of Neurosurgery, King Chulalongkorn Memorial Hospital, Chulalongkorn University, 1873 Rama IV Rd., Pathumwan, Bangkok, 10330, Thailand

    Pakrit Jittapiromsak

Authors
  1. Pakrit Jittapiromsak
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Léon Ikka
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nidhal Benachour
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Laurent Spelle
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jacques Moret
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Laurent Spelle.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jittapiromsak, P., Ikka, L., Benachour, N. et al. Transvenous balloon-assisted transarterial Onyx embolization of transverse–sigmoid dural arteriovenous malformation. Neuroradiology 55, 345–350 (2013). https://doi.org/10.1007/s00234-012-1107-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00234-012-1107-8

Keywords

Search

Navigation