Embolization of a giant torcular dural arteriovenous fistula in a neonate.
We treated a neonatal infant who presented with heart failure and a giant torcular dural arteriovenous fistula by staged transtorcular embolization with two guidewires, 95 platinum microcoils, and tissue glues through a needle-size craniotomy. Blood loss was minimal. The patient was stable without heart failure after a three-staged embolization. The lesion disappeared on the follow-up angiography done at the age of 3 years. This is the first documented case of neonatal giant torcular dural arteriovenous malformation cured by interventional neuroradiology. The dilemma and strategy in managing this patient will be presented and discussed.
Liu
H
H
Department of Radiology, College and Hospital, National Taiwan University, Taipei, Taiwan, Republic of China. hml@ha.mc.ntu.edu.tw
Kuo
M
M
Tu
Y
Y
D001164:Arteriovenous Fistula / Q000151:congenital* / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D003392:Cranial Sinuses / Q000002:abnormalities*; D004621:Embolization, Therapeutic; D005500:Follow-Up Studies; D006333:Heart Failure / Q000151:congenital; D006801:Humans; D007231:Infant, Newborn; D002538:Intracranial Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008576:Meningeal Arteries / Q000002:abnormalities*