Advertisement

Neuroradiology

, Volume 48, Issue 10, pp 737–743 | Cite as

Tentorial artery embolization in tentorial dural arteriovenous fistulas

  • Willem Jan van Rooij
  • Menno Sluzewski
  • Guus N. Beute
Interventional Neuroradiology

Abstract

Introduction

The tentorial artery is often involved in arterial supply to tentorial dural fistulas. The hypertrophied tentorial artery is accessible to embolization, either with glue or with particles.

Methods

Six patients are presented with tentorial dural fistulas, mainly supplied by the tentorial artery. Two patients presented with intracranial hemorrhage, two with pulsatile tinnitus and one with progressive tetraparesis, and in one patient the tentorial dural fistula was an incidental finding. Different endovascular techniques were used to embolize the tentorial artery in the process of endovascular occlusion of the fistulas.

Results

All six tentorial dural fistulas were completely occluded by endovascular techniques, confirmed at follow-up angiography. There were no complications. When direct catheterization of the tentorial artery was possible, glue injection with temporary balloon occlusion of the internal carotid artery at the level of the tentorial artery origin was effective and safe.

Conclusion

Different endovascular techniques may be successfully applied to embolize the tentorial artery in the treatment of tentorial dural fistulas.

Keywords

Tentorial dural fistula Tentorial artery Embolization 

Notes

Conflict of interest statement

We declare that we have no conflict of interest.

References

  1. 1.
    Reisch R, Vutskits L, Patonay L, Fries G (1996) The meningohypophyseal trunk and its blood supply to different intracranial structures. An anatomical study. Minim Invasive Neurosurg 39:78–81PubMedCrossRefGoogle Scholar
  2. 2.
    Lasjaunias PL (1984) Anatomy of the tentorial arteries. Neurosurgery 61:1159–1160Google Scholar
  3. 3.
    Lasjaunias PL, Berenstein A, ter Brugge K (2001) Surgical neuroangiography, vol. 1. Springer, Berlin Heidelberg New York, pp 369–461Google Scholar
  4. 4.
    Lewis AI, Tomsick TA, Tew JM Jr (1994) Management of tentorial dural arteriovenous malformations: transarterial embolization combined with stereotactic radiation or surgery. J Neurosurg 81:851–859PubMedCrossRefGoogle Scholar
  5. 5.
    van Rooij WJ, Sluzewski M, Slob MJ, Rinkel GJ (2005) Predictive value of angiographic testing for tolerance to therapeutic occlusion of the carotid artery. AJNR Am J Neuroradiol 26:175–178PubMedGoogle Scholar
  6. 6.
    Halbach VV, Higashida RT, Hieshima GB, Hardin CW (1989) Embolization of branches arising from the cavernous portion of the internal carotid artery. AJNR Am J Neuroradiol 10:143–150PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Willem Jan van Rooij
    • 1
  • Menno Sluzewski
    • 1
  • Guus N. Beute
    • 2
  1. 1.Department of RadiologySt. Elisabeth ZiekenhuisTilburgThe Netherlands
  2. 2.Department of NeurosurgerySt. Elisabeth ZiekenhuisTilburgThe Netherlands

Personalised recommendations