OBJECTIVE: Tentorial dural arteriovenous fistula (DAVF) is an uncommon disease with a poor natural history. Management of tentorial DAVF remains controversial. This study reports the technique and results of transarterial embolization using Onyx (Micro Therapeutics Inc., Irvine, CA) in the treatment of a series of 14 patients with tentorial DAVFs. METHODS: We retrospectively reviewed the clinical and radiological data of 14 patients with tentorial DAVFs who were treated by transarterial embolization using Onyx at Shanghai Changhai Hospital between 2005 and 2008. RESULTS: Twelve patients presented with subarachnoid or intraventricular hemorrhage. Complete cure was achieved in 11 patients after 1 procedure and in 1 patient after 2 procedures. Incomplete cure was obtained in the other 2 patients. One patient experienced vessel perforation; another had microcatheter retention. All of the patients recovered well, except 1 patient who died of severe infection caused by ventricular drainage. Clinical follow-up showed no rebleeding or worsening. Follow-up angiography in 8 patients with total occlusion demonstrated no recurrence. CONCLUSION: These results suggest that transarterial embolization using Onyx is feasible and effective for the management of tentorial DAVFs.
OBJECTIVE: Tentorial dural arteriovenous fistula (DAVF) is an uncommon disease with a poor natural history. Management of tentorial DAVF remains controversial. This study reports the technique and results of transarterial embolization using Onyx (Micro Therapeutics Inc., Irvine, CA) in the treatment of a series of 14 patients with tentorial DAVFs. METHODS: We retrospectively reviewed the clinical and radiological data of 14 patients with tentorial DAVFs who were treated by transarterial embolization using Onyx at Shanghai Changhai Hospital between 2005 and 2008. RESULTS: Twelve patients presented with subarachnoid or intraventricular hemorrhage. Complete cure was achieved in 11 patients after 1 procedure and in 1 patient after 2 procedures. Incomplete cure was obtained in the other 2 patients. One patient experienced vessel perforation; another had microcatheter retention. All of the patients recovered well, except 1 patient who died of severe infection caused by ventricular drainage. Clinical follow-up showed no rebleeding or worsening. Follow-up angiography in 8 patients with total occlusion demonstrated no recurrence. CONCLUSION: These results suggest that transarterial embolization using Onyx is feasible and effective for the management of tentorial DAVFs.
Authors: Christopher J Stapleton; Anoop P Patel; Brian P Walcott; Collin M Torok; Matthew J Koch; Thabele M Leslie-Mazwi; James D Rabinov; William E Butler; Aman B Patel Journal: Interv Neuroradiol Date: 2018-02-12 Impact factor: 1.610
Authors: H G Kortman; G Bloemsma; I Boukrab; J P Peluso; M Sluzewski; B van der Pol; G N Beute; C B Majoie; W J van Rooij Journal: Interv Neuroradiol Date: 2017-10-04 Impact factor: 1.610
Authors: Andrew J Durnford; Danyal Akarca; David Culliford; John Millar; Ridhima Guniganti; Enrico Giordan; Waleed Brinjikji; Ching-Jen Chen; Isaac Josh Abecassis; Michael Levitt; Adam J Polifka; Colin P Derdeyn; Edgar A Samaniego; Amanda Kwasnicki; Ali Alaraj; Adriaan R E Potgieser; Stephanie Chen; Yoshiteru Tada; Ryan Phelps; Adib Abla; Junichiro Satomi; Robert M Starke; J Marc C van Dijk; Sepideh Amin-Hanjani; Minako Hayakawa; Bradley Gross; W Christopher Fox; Louis Kim; Jason Sheehan; Giuseppe Lanzino; Akash P Kansagra; Rose Du; Rosalind Lai; Gregory J Zipfel; Diederik O Bulters Journal: Stroke Date: 2022-04-14 Impact factor: 10.170