Raoul Pop1, Monica Manisor2, Valérie Wolff3, Ziad Aloraini2, Leonardo Tigan4, Pierre Kehrli4, Christian Marescaux3, Rémy Beaujeux2. 1. Interventional Neuroradiology Department, Strasbourg University Hospitals, France Institut Hospitalo-Universitaire, Strasbourg, France pop.raoul@gmail.com. 2. Interventional Neuroradiology Department, Strasbourg University Hospitals, France. 3. Vascular Neurology Department, Strasbourg University Hospitals, France. 4. Neurosurgery Department, Strasbourg University Hospitals, France.
Abstract
INTRODUCTION: Endovascular treatment of type III dural arterio-venous fistulas can be challenging if the fistulous point is close to a functionally important cortical vein. METHODS: A technique is described for temporary balloon protection of the vein of Labbé during transarterial Onyx embolization of a type III dural arterio-venous fistula. One illustrative case is presented. Careful anatomic consideration of the concerned venous segment (at the insertion point into the lateral sinus) and the choice of balloon minimized the risk of venous rupture. RESULTS: Using this method, satisfactory progression of Onyx was obtained within the arterio-venous shunt while preserving the patency of the Labbé vein. CONCLUSION: Temporary balloon protection of the Labbé vein is a feasible option to preserve its patency during embolization of dural arterio-venous fistulas. To the authors' knowledge, this is the first report on the use of temporary balloon protection of a cortical vein.
INTRODUCTION: Endovascular treatment of type III dural arterio-venous fistulas can be challenging if the fistulous point is close to a functionally important cortical vein. METHODS: A technique is described for temporary balloon protection of the vein of Labbé during transarterial Onyx embolization of a type III dural arterio-venous fistula. One illustrative case is presented. Careful anatomic consideration of the concerned venous segment (at the insertion point into the lateral sinus) and the choice of balloon minimized the risk of venous rupture. RESULTS: Using this method, satisfactory progression of Onyx was obtained within the arterio-venous shunt while preserving the patency of the Labbé vein. CONCLUSION: Temporary balloon protection of the Labbé vein is a feasible option to preserve its patency during embolization of dural arterio-venous fistulas. To the authors' knowledge, this is the first report on the use of temporary balloon protection of a cortical vein.
Authors: F Toulgoat; C Mounayer; M Túlio Salles Rezende; M Piotin; L Spelle; G Lazzarotti; H Desal; J Moret Journal: J Neuroradiol Date: 2006-04 Impact factor: 3.447
Authors: Robert D Brown; Kelly D Flemming; Fredric B Meyer; Harry J Cloft; Bruce E Pollock; Michael L Link Journal: Mayo Clin Proc Date: 2005-02 Impact factor: 7.616
Authors: C Cognard; Y P Gobin; L Pierot; A L Bailly; E Houdart; A Casasco; J Chiras; J J Merland Journal: Radiology Date: 1995-03 Impact factor: 11.105