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Acta Neurochirurgica

, Volume 149, Issue 9, pp 929–936 | Cite as

Transvenous embolization for dural transverse sinus fistulas with occluded sigmoid sinus

  • G. K. C. Wong
  • W. S. Poon
  • S. C. H. Yu
  • C. X. L. Zhu
Short Illustrated Review

Summary

Dural transverse sinus arteriovenous fistulas with cortical venous drainage were associated with a high hemorrhagic risk. Dural transverse sinus arteriovenous dural fistulas could be treated by embolization (transarterial or transvenous), surgery or a combination of both. Transvenous packing of the diseased sinus was considered to be a less invasive and effective method of treatment. Occluded sigmoid sinus proximally, especially cases with isolated transverse sinus, could make the transvenous approach difficult. Craniotomy for sinus packing or surgical excision remained the treatment of choice when the percutaneous transvenous approach was not feasible. We reviewed the techniques of transvenous embolization described in the literature and illustrated our techniques in two consecutive cases of transvenous embolization of the dural arteriovenous fistulas through the occluded sigmoid sinus. We concluded that transvenous embolization remains a safe and feasible technique other than surgery for patients with transverse sinus dural fistula, achieving a long-term occlusion of the pathology.

Keywords: Dural arteriovenous fistula; occluded sinus; sigmoid-transverse sinus; transvenous embolization. 

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References

  1. Agarwal, A, Lowry, P, Isaacson, G 2003Natural history of sigmoid sinus thrombosisAnn Otol Rhinol Laryngol112191194PubMedGoogle Scholar
  2. Arnautovic, KI, Al-Mefty, O, Angtuaco, E, Phares, LJ 1998Dural arteriovenous malformations of the transverse/sigmoid sinus acquired from dominant sinus occlusion by a tumor: report of two casesNeurosurgery42383388PubMedCrossRefGoogle Scholar
  3. Chung, YG, Lee, KC, Lee, HK, Lee, NJ 1999Tentorial meningioma encroaching the transverse sinuses and sigmoid junction area associated with dural arteriovenous fistulous malformation: a case reportJ Korean Med Sci14465468PubMedGoogle Scholar
  4. Cognard, C, Gobin, YP, Pierot, L, Bailly, AL, Houdart, E, Cascsco, A, Chiras, J, Merland, JJ 1995Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainageRadiology194671680PubMedGoogle Scholar
  5. Desal, HA, Lee, SK, Kim, BS, Raoul, S, Tymianski, M, Terbrugge, KG 2005Multiple do novo vascular malformations in relation to diffuse venous occlusive disease: a case reportNeuroradiology473842PubMedCrossRefGoogle Scholar
  6. Duffau, H, Lopes, M, Janosevic, V, Sichez, JP, Faillot, T, Capelle, L, Ismail, M, Bitar, A, Arthuis, F, Fohanno, D 1999Early rebleeding from intracranial dural arteriovenous fistulas: report of 20 cases and review of the literatureJ Neurosurg907884PubMedGoogle Scholar
  7. Endo, S, Kuwayama, N, Takaku, A, Nishijima, M 1998Direct packing of the isolated sinus in patients with dural arteriovenous fistulas of the transverse-sigmoid sinusJ Neursurg88449456Google Scholar
  8. Fiumara, E, Tumbiolo, S, Bellomonte, ML, Savatteri, P, Finazzo, F, La Gattuta, F 2004Resection of the transverse sinuses and confluence of sinuses for treatment of multiple dural arteriovenous fistulasJ Neurosurg100348352PubMedGoogle Scholar
  9. Gobin, YP, Houdart, E, Rogopoulos, A, Bailly, AL, Merland, JJ 1993Percutaneous transvenous embolization through the thrombosed sinus in transverse sinus dural fistulaAJNR1411021105PubMedGoogle Scholar
  10. Hanaoka, M, Satoh, K, Satomi, J, Matsubara, S, Nagahiro, S, Takimoto, O, Ohrayashi, M 2006Microcatheter pull-up technique in the transvenous embolization of an isolated sinus dural arteriovenous fistulaJ Neurosurg104974977PubMedGoogle Scholar
  11. Halbach, VV, Higashida, RT, Hieshima, GB, Mehringer, CM, Hardin, CW 1989Transvenous embolization of dural fistulas involving the transverse and sigmoid sinusesAJNR10385392PubMedGoogle Scholar
  12. Houdart, E, Saint-Maurice, JP, Chapot, R, Ditchfield, A, Blanquet, A, Lot, G, Merland, JJ 2002Transcranial approach for venous embolization of dural arteriovenous fistulasJ Neurosurg97280286PubMedGoogle Scholar
  13. Kawaguchi, S, Sakaki, T, Morimoto, T, Hoshida, T, Nakase, H 2000Surgery for dural arteriovenous fistula in superior sagittal sinus and transverse sigmoid sinusJ Clin Neurosci74749PubMedGoogle Scholar
  14. Komiyama, M, Ishiguro, T, Matsusaka, Y, Yasui, T, Nishio, A 2002Transfemoral, transvenous embolisation of dural arteriovenous fistula involving the isolated transverse-sigmoid sinus from the contralateral sideActa Neurochir14410411046Google Scholar
  15. Kuwayama, N, Akai, T, Horie, Y, Nishijima, M, Endo, S, Takaku, A 1994Dural arteriovenous fistulae involving the transverse-sigmoid sinus and foramen magnumSurg Neurol41389395PubMedCrossRefGoogle Scholar
  16. Levrier, O, Metellius, P, Fuentes, S, Manera, L, Dufour, H, Donnet, A, Grisoli, F, Bartoli, JM, Girard, N 2006Use of a self-expanding stent with balloon angioplasty in the treatment of dural arteriovenous fistulas involving the transverse and/pr sigmoid sinus: functional and neuroimaging-based outcome in 10 patientsJ Neurosurg104254263PubMedGoogle Scholar
  17. Liebig, T, Henkes, H, Brew, S, Miloslavski, E, Kirsch, M, Kuhne, D 2005Reconstructive treatment of dural arteriovenous fistulas of the transverse and sigmoid sinus: transvenous angioplasty and stent deploymentNeuroradiology47543551PubMedCrossRefGoogle Scholar
  18. Misra, M, Nijensohn, E, Debrun, GM, Charbel, FT, Alp, MS, Ausman, JI 1996Transverse sinus dural fistula: combined surgical and endovascular approach: a case reportSurgical Neurology46129134PubMedCrossRefGoogle Scholar
  19. Murphy, KJ, Gailloud, P, Venbrux, A, Deramond, H, Hanley, D, Rigamonti, D 2000Endovascular treatment of a grade IV transverse sinus dural arteriovenous fistula by sinus recanalization, angioplasty, and stent placement: technical case reportNeurosurgery46497501PubMedCrossRefGoogle Scholar
  20. Naito, I, Iwai, T, Shimaguchi, H, Suzuki, T, Tomizawa, S, Negishi, M, Sasaki, T 2001Percutaneous transvenous embolization through the occluded sinus for transverse-sigmoid dural arteriovenous fistulas with sinus occlusionNeuroradiology43672676PubMedCrossRefGoogle Scholar
  21. Nelson, PK, Russell, SM, Woo, HH, Alastra, AJ, Vidovich, DV 2003Use of a wedged microcatheter for curative transarterial embolization of complex intracranial dural arteriovenous fistulas, indication, endovascular technique, and outcome in 21 patientsJ Neurosurg98498506PubMedCrossRefGoogle Scholar
  22. Nishio, A, Ohata, K, Tsuchida, K, Tsuyuguchi, N, Hara, M, Komiyama, M, Tsuruno, T, Murata, T 2000Dural arteriovenous fistula involving the superior sagittal sinus following sinus thrombosis-case reportNeurol Med Chir (Tokyo)42217220CrossRefGoogle Scholar
  23. Ohtakara, K, Murao, K, Kawaguchi, K, Kuga, Y, Kojima, T, Taki, W, Waga, S 2000Selective transvenous liquid embolization of a type 1 dural arteriovenous fistula at the junction of the transverse and sigmoid sinusesJ Neurosurg9210451049PubMedGoogle Scholar
  24. Richolfi, F, Manelfe, C, Meder, JF, Arrue, P, Decq, P, Brugieres, P, Cognard, C, Gaston, A 1999Intracranial dural arteriovenous fistulae with perimedullary venous drainage. Anatomical, clinical and therapeutic considerationsNeuroradiology41803812CrossRefGoogle Scholar
  25. Rivet, DJ, Goddard, JK,III, Rich, KM, Derdeyn, CP 2006Percutaneous transvenous embolization of a dural arteriovenous fistula through a mastoid emissionary vein: Technical noteJ Neurosurg105636639PubMedGoogle Scholar
  26. Satoh, M, Huriyama, M, Fujiwara, T, Tokunaga, K, Sugiu, K 2005Brain stem ischemia from intracranial dural arteriovenous fistula: Case reportSurgical Neurology64341345PubMedCrossRefGoogle Scholar
  27. Stefanutto, TB, Halbach, V 2003Bronchospasm precipitated by ethanol injection in arteriovenous malformationAJNR2420502051PubMedGoogle Scholar
  28. Terada, T, Kinoshita, Y, Yokote, H, Tsuura, M, Tanaka, Y, Itakura, T, Ryujin, Y, Hayashi, S, Minamikawa, J 1996Clinical use of mechanical detachable coils for dural arteriovenous fistulaAm J Neuroradiol1713431348PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • G. K. C. Wong
    • 1
  • W. S. Poon
    • 1
  • S. C. H. Yu
    • 2
  • C. X. L. Zhu
    • 1
  1. 1.Division of Neurosurgery, Prince of Wales HospitalThe Chinese University of Hong KongHong Kong
  2. 2.Diagnostic Radiology and Organ Imaging Department, Prince of Wales HospitalThe Chinese University of Hong KongHong Kong

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