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

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

Neuroradiology 2013 Feb

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

Citation

Pakrit Jittapiromsak, Léon Ikka, Nidhal Benachour, Laurent Spelle, Jacques Moret. Transvenous balloon-assisted transarterial Onyx embolization of transverse-sigmoid dural arteriovenous malformation. Neuroradiology. 2013 Feb;55(3):345-50