Intra-Arterial Onyx-18 embolization of a dural arteriovenous fistula of the sphenoparietal sinus using scepter C balloon microcatheter: Case report

Chen S., Ocak P., Xia Y., Zhang H.

NIGERIAN JOURNAL OF CLINICAL PRACTICE, cilt.23, sa.6, ss.879-882, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 23 Sayı: 6
  • Basım Tarihi: 2020
  • Doi Numarası: 10.4103/njcp.njcp_620_18
  • Dergi Adı: NIGERIAN JOURNAL OF CLINICAL PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.879-882
  • Anahtar Kelimeler: Balloon catheter, dural arteriovenous fistula, embolization, Onyx-18, sphenoparietal sinus
  • Bursa Uludağ Üniversitesi Adresli: Evet

Özet

Dural arteriovenous fistulas (DAVFs) of the sphenoparietal sinus are extremely rare. In the present report, we describe a 46-year-old male patient who presented with headache, pulsatile tinnitus on the right side, and a single course of focal seizure starting 2 months after a closed head injury causing right temporal and occipital bone fractures. Cranial magnetic resonance imaging which was obtained 11 months after the injury showed white matter necrosis in the right frontal lobe while digital subtraction angiography (DSA) revealed a right-sided DAVF in the region of sphenoparietal sinus. The patient underwent successful intra-arterial Onyx-18 embolization using Scepter C balloon microcatheter. Complete occlusion of the fistula was confirmed by control cerebral DSA at 6-month follow-up. Thus, we conclude that double lumen Scepter C balloon microcatheter is a feasible, safe and effective treatment for intra-arterial Onyx-18 embolization of the DAVFs of the sphenoparietal sinus, particularly in cases with high tortuosity.