title: Onyx Embolization of Dural Arteriovenous Fistula, using Scepter C Balloon Catheter: a Case Report.
abstract: We report our experience using Onyx for embolization of dural arteriovenous fistula (DAVF) under dual lumen balloon catheter flow arrest. Transfemoral cerebral angiography revealed a superior sagittal sinus (SSS) DAVF that was supplied via multiple branches of the external carotid arteries, the right anterior cerebral arteries, and the meningeal branches of the internal carotid artery. There was no anterograde venous drainage through the SSS, and venous drainage was almost retrograde through the medullary and cortical veins. Under general anesthesia, a transvenous approach was utilized to place the microcatheter close to the fistula site. After intravenous embolization with various coils, DAVF was partially occluded; Balloon catheter gained access to the DAVF via the right middle meningeal artery. We injected Onyx through the Scepter C catheter, after which DAVF was nearly completely occluded. Balloon-assisted Onyx embolization is a feasible and effective approach for the management of DAVF.
authors.affiliation: Department of Neurosurgery, Busan Paik Hospital, School of Medicine, Inje University, Busan, Korea.
authors.forename: Sung Tae
authors.initials: ST
authors.lastname: Kim
authors.forename: Hae Woong
authors.initials: HW
authors.lastname: Jeong
authors.forename: Jeonghwa
authors.initials: J
authors.lastname: Seo
keywords: Balloon; Dural arteriovenous fistula; Embolization; Onyx
references.citation: AJNR Am J Neuroradiol. 2008 Feb;29(2):235-41
references.pmid: 17989374
references.citation: Stroke. 2002 May;33(5):1233-6
references.pmid: 11988596
references.citation: J Neurosurg Pediatr. 2011 Jun;7(6):637-42
references.pmid: 21631202
references.citation: J Neurosurg. 1990 Jun;72(6):839-50
references.pmid: 2140125
references.citation: Neurosurgery. 2001 Dec;49(6):1351-63; discussion 1363-4
references.pmid: 11846934
references.citation: J Neurosurg. 2009 May;110(5):921-8
references.pmid: 19284242
references.citation: World Neurosurg. 2010 Apr;73(4):365-79
references.pmid: 20849795
references.citation: J Neurointerv Surg. 2011 Mar;3(1):5-13
references.pmid: 21990779
references.citation: J Neurointerv Surg. 2013 Mar;5(2):e5
references.pmid: 22248630
references.citation: J Neurointerv Surg. 2011 Dec 1;3(4):390-4
references.pmid: 21990466