Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx®: a case series

Bibliographic Details
Main Author: Trivelato,Felipe Padovani
Publication Date: 2010
Other Authors: Abud,Daniel Giansante, Ulhôa,Alexandre Cordeiro, Menezes,Tiago de Jesus, Abud,Thiago Giansante, Nakiri,Guilherme Seikem, Colli,Benedicto Oscar, Gusmão,Sebastião Nataniel Silva, Rezende,Marco Túlio Salles
Format: Article
Language: eng
Source: Arquivos de Neuro-Psiquiatria
Download full: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000400025
Summary: Dural arteriovenous fistulas (DAVFs) may have aggressive symptoms, especially if there is direct cortical venous drainage. We report our preliminary experience in transarterial embolization of DAVFs with direct cortical venous drainage (CVR) using Onyx®. METHOD: Nine patients with DAVFs with direct cortical venous drainage were treated: eight type IV and one type III (Cognard). Treatment consisted of transarterial embolization using Onyx-18®. Immediate post treatment angiographies, clinical outcome and late follow-up angiographies were studied. RESULTS: Complete occlusion of the fistula was achieved in all patients with only one procedure and injection in only one arterial pedicle. On follow-up, eight patients became free from symptoms, one improved and no one deteriorated. Late angiographies showed no evidence of recurrent DAVF. CONCLUSION: We recommend that transarterial Onyx® embolization of DAVFs with direct cortical venous drainage be considered as a treatment option, while it showed to be feasible, safe and effective.
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spelling Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx®: a case seriesdural arteriovenous fistuladural arteriovenous malformationembolizationendovascularOnyx®transarterialDural arteriovenous fistulas (DAVFs) may have aggressive symptoms, especially if there is direct cortical venous drainage. We report our preliminary experience in transarterial embolization of DAVFs with direct cortical venous drainage (CVR) using Onyx®. METHOD: Nine patients with DAVFs with direct cortical venous drainage were treated: eight type IV and one type III (Cognard). Treatment consisted of transarterial embolization using Onyx-18®. Immediate post treatment angiographies, clinical outcome and late follow-up angiographies were studied. RESULTS: Complete occlusion of the fistula was achieved in all patients with only one procedure and injection in only one arterial pedicle. On follow-up, eight patients became free from symptoms, one improved and no one deteriorated. Late angiographies showed no evidence of recurrent DAVF. CONCLUSION: We recommend that transarterial Onyx® embolization of DAVFs with direct cortical venous drainage be considered as a treatment option, while it showed to be feasible, safe and effective.Academia Brasileira de Neurologia - ABNEURO2010-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000400025Arquivos de Neuro-Psiquiatria v.68 n.4 2010reponame:Arquivos de Neuro-Psiquiatriainstname:ABNEUROinstacron:ABNEURO10.1590/S0004-282X2010000400025info:eu-repo/semantics/openAccessTrivelato,Felipe PadovaniAbud,Daniel GiansanteUlhôa,Alexandre CordeiroMenezes,Tiago de JesusAbud,Thiago GiansanteNakiri,Guilherme SeikemColli,Benedicto OscarGusmão,Sebastião Nataniel SilvaRezende,Marco Túlio Salleseng2020-04-25T19:47:19Zhttp://www.scielo.br/oai/scielo-oai.php0004-282X1678-4227opendoar:null2020-04-26 03:08:42.162Arquivos de Neuro-Psiquiatria - ABNEUROtrue
dc.title.none.fl_str_mv Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx®: a case series
title Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx®: a case series
spellingShingle Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx®: a case series
Trivelato,Felipe Padovani
dural arteriovenous fistula
dural arteriovenous malformation
embolization
endovascular
Onyx®
transarterial
title_short Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx®: a case series
title_full Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx®: a case series
title_fullStr Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx®: a case series
title_full_unstemmed Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx®: a case series
title_sort Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx®: a case series
author Trivelato,Felipe Padovani
author_facet Trivelato,Felipe Padovani
Abud,Daniel Giansante
Ulhôa,Alexandre Cordeiro
Menezes,Tiago de Jesus
Abud,Thiago Giansante
Nakiri,Guilherme Seikem
Colli,Benedicto Oscar
Gusmão,Sebastião Nataniel Silva
Rezende,Marco Túlio Salles
author_role author
author2 Abud,Daniel Giansante
Ulhôa,Alexandre Cordeiro
Menezes,Tiago de Jesus
Abud,Thiago Giansante
Nakiri,Guilherme Seikem
Colli,Benedicto Oscar
Gusmão,Sebastião Nataniel Silva
Rezende,Marco Túlio Salles
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Trivelato,Felipe Padovani
Abud,Daniel Giansante
Ulhôa,Alexandre Cordeiro
Menezes,Tiago de Jesus
Abud,Thiago Giansante
Nakiri,Guilherme Seikem
Colli,Benedicto Oscar
Gusmão,Sebastião Nataniel Silva
Rezende,Marco Túlio Salles
dc.subject.por.fl_str_mv dural arteriovenous fistula
dural arteriovenous malformation
embolization
endovascular
Onyx®
transarterial
topic dural arteriovenous fistula
dural arteriovenous malformation
embolization
endovascular
Onyx®
transarterial
dc.description.none.fl_txt_mv Dural arteriovenous fistulas (DAVFs) may have aggressive symptoms, especially if there is direct cortical venous drainage. We report our preliminary experience in transarterial embolization of DAVFs with direct cortical venous drainage (CVR) using Onyx®. METHOD: Nine patients with DAVFs with direct cortical venous drainage were treated: eight type IV and one type III (Cognard). Treatment consisted of transarterial embolization using Onyx-18®. Immediate post treatment angiographies, clinical outcome and late follow-up angiographies were studied. RESULTS: Complete occlusion of the fistula was achieved in all patients with only one procedure and injection in only one arterial pedicle. On follow-up, eight patients became free from symptoms, one improved and no one deteriorated. Late angiographies showed no evidence of recurrent DAVF. CONCLUSION: We recommend that transarterial Onyx® embolization of DAVFs with direct cortical venous drainage be considered as a treatment option, while it showed to be feasible, safe and effective.
description Dural arteriovenous fistulas (DAVFs) may have aggressive symptoms, especially if there is direct cortical venous drainage. We report our preliminary experience in transarterial embolization of DAVFs with direct cortical venous drainage (CVR) using Onyx®. METHOD: Nine patients with DAVFs with direct cortical venous drainage were treated: eight type IV and one type III (Cognard). Treatment consisted of transarterial embolization using Onyx-18®. Immediate post treatment angiographies, clinical outcome and late follow-up angiographies were studied. RESULTS: Complete occlusion of the fistula was achieved in all patients with only one procedure and injection in only one arterial pedicle. On follow-up, eight patients became free from symptoms, one improved and no one deteriorated. Late angiographies showed no evidence of recurrent DAVF. CONCLUSION: We recommend that transarterial Onyx® embolization of DAVFs with direct cortical venous drainage be considered as a treatment option, while it showed to be feasible, safe and effective.
publishDate 2010
dc.date.none.fl_str_mv 2010-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000400025
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000400025
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-282X2010000400025
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.68 n.4 2010
reponame:Arquivos de Neuro-Psiquiatria
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repository.name.fl_str_mv Arquivos de Neuro-Psiquiatria - ABNEURO
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