High-Flow Pial AVF: Safety Considerations—Detachable Tip Microcatheter and Proximal Balloon Occlusion Technique

  • Aviraj Deshmukh
  • Rajsrinivas Parthasarathy
  • Vipul GuptaEmail author


A 27-year-old female presented with headache of 6 months duration. NCCT head revealed high density, extra-axial large vascular sacs in right parieto-occipital region (Fig. 73.1a). DSA showed a very high-flow single-hole pial fistula with large venous sacs, fed by cortical branch of the inferior division of right middle cerebral artery and draining into superior sagittal sinus (Fig. 73.1b, c).

Suggested Reading

  1. Limaye US, et al. Endovascular management of intracranial pial arterio-venous fistulas. Neurol India. 2004;52:87–90.PubMedGoogle Scholar
  2. Paramasivam S, et al. Development, clinical presentation and endovascular management of congenital intracranial pial arteriovenous fistulas. J Neurointerv Surg. 2013;5(3):184–90. Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  • Aviraj Deshmukh
    • 1
  • Rajsrinivas Parthasarathy
    • 2
  • Vipul Gupta
    • 3
    Email author
  1. 1.Neurointerventional Surgery, Artemis Agrim Institute of NeuroscienceGurgaonIndia
  2. 2.Vascular Neurology and Neurointerventional SurgeryArtemis Agrim Institute of NeuroscienceGurgaonIndia
  3. 3.Neurointerventional Surgery, Stroke UnitArtemis Agrim Institute of NeuroscienceGurgaonIndia

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