title: Single-session, transarterial complete embolization of Galenic dural AV fistula.
abstract: Galenic dural arteriovenous fistula (DAVF) represents a unique, hard to treat subgroup of tentorial DAVFs. We present an unusual case of hemorrhagic Galenic DAVF in a 54-year-old woman. The fistula drained directly to the vein of Galen through multiple feeders. Complete occlusion of the fistula was achieved through transarterial embolization. Deep venous drainage remained intact and the patient recovered well. To our knowledge, this is the first report on complete closure of hemorrhagic Galenic DAVF using transarterial embolization with complete obliteration of vein of Galen. The presence of nonfunctioning straight sinus may have contributed to the success of treatment and it may be considered as a predictive marker for endovascular embolization.
authors.affiliation: Departments of Surgery, Division of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, USA. ylaviv@bidmc.harvard.edu.
authors.forename: Yosef
authors.identifier: http://orcid.org/0000-0001-5386-9939
authors.initials: Y
authors.lastname: Laviv
authors.affiliation: Departments of Surgery, Division of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, USA.
authors.forename: Ekkehard
authors.initials: E
authors.lastname: Kasper
authors.affiliation: Department of Radiology, Rabin Medical Center, Beilinson Hospital, Tel-Aviv University, Petah-Tiqva, Israel.
authors.forename: Eliyahu
authors.initials: E
authors.lastname: Perlow
mesh_terms: D020785:Central Nervous System Vascular Malformations / Q000628:therapy*; D002533:Cerebral Angiography; D004322:Drainage; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D020300:Intracranial Hemorrhages / Q000150:complications / Q000628:therapy; D008875:Middle Aged; D013116:Spinal Cord / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054080:Vein of Galen Malformations / Q000628:therapy*
keywords: Arteriovenous fistula; Dura; Embolization; Straight sinus; Vein of Galen