Dural arteriovenous fistulas with direct cortical venous drainage treated with Onyx®: a case series
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000400025 |
Resumo: | 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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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://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000400025Arquivos de Neuro-Psiquiatria v.68 n.4 2010reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron: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 Salleseng2010-08-11T00:00:00Zoai:scielo:S0004-282X2010000400025Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2010-08-11T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
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 |
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://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2010000400025 |
url |
http://old.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 (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212769099415552 |