Balloon-assisted transarterial embolization of type 1 spinal dural arteriovenous fistula - PubMed (original) (raw)

Case Reports

. 2014 Jul;37(1 Suppl):1.

doi: 10.3171/2014.V2.FOCUS14175.

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Case Reports

Balloon-assisted transarterial embolization of type 1 spinal dural arteriovenous fistula

Brian Lee et al. Neurosurg Focus. 2014 Jul.

Abstract

Type 1 spinal dural arteriovenous fistula (dAVF) constitute the vast majority of all spinal vascular malformations. Here we present the case of a 71-year-old male with progressive myelopathy, lower-extremity weakness and numbness, and urinary incontinence. MRI imaging of the thoracic spine demonstrated cord edema, and catheter spinal angiography confirmed a type 1 spinal dAVF. The fistula was supplied by small dural branches of the left L-2 segmental artery. Angiographic cure was achieved with a one-stage procedure in which coils were used to occlude the distal segmental vessels, followed by balloon-assisted embolization with Onyx. The video can be found here: http://youtu.be/8aehJbueH0U .

Keywords: Onyx; balloon-assisted; dAVF; dural arteriovenous fistula; embolization; spinal; video.

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