title: Transarterial embolization of an anterior fossa cranial base dural arteriovenous fistula.
abstract: Open surgical disconnection has long been the treatment of choice for dural arteriovenous fistulas (dAVFs) of the anterior cranial fossa. However, advanced patient age and the presence of medical comorbidities can substantially increase the risk of craniotomy and favor a less invasive endovascular approach. Optimal positioning within the distal ophthalmic artery, beyond the origin of the central retinal branch, is achievable using current microcatheter technology and embolic materials. Here we present the case of an 88-year-old female with an incidentally discovered dAVF of the anterior cranial fossa. Angiographic cure was achieved with one-stage Onyx embolization. The video can be found here: http://youtu.be/KVE0fUIECQM .
authors.affiliation: Department of Neurosurgery, University of Southern California, Los Angeles, California.
authors.forename: Brian
authors.initials: B
authors.lastname: Lee
authors.forename: Vivek A
authors.initials: VA
authors.lastname: Mehta
authors.forename: Arun P
authors.initials: AP
authors.lastname: Amar
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Tenser
authors.forename: William J
authors.initials: WJ
authors.lastname: Mack
mesh_terms: D000369:Aged, 80 and over; D020785:Central Nervous System Vascular Malformations / Q000150:complications / Q000601:surgery*; D002533:Cerebral Angiography; D035262:Cranial Fossa, Anterior / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009880:Ophthalmic Artery / Q000601:surgery; D011145:Polyvinyls; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology
chemical_list: D011145:Polyvinyls
keywords: Onyx; anterior fossa; dAVF; dural arteriovenous fistula; embolization; video