Bailout using NBCA for incomplete onyx embolization of tentorial dural arteriovenous fistula
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| Názov: | Bailout using NBCA for incomplete onyx embolization of tentorial dural arteriovenous fistula |
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| Autori: | Masahiro Sugihara, Atsushi Fujita, Takeshi Kondoh, Yoshiyuki Takaishi, Hirotomo Tanaka, Nao Tachizawa, Takashi Sasayama |
| Zdroj: | Radiol Case Rep Radiology Case Reports, Vol 19, Iss 11, Pp 5153-5157 (2024) |
| Informácie o vydavateľovi: | Elsevier BV, 2024. |
| Rok vydania: | 2024 |
| Predmety: | Onyx, Medical physics. Medical radiology. Nuclear medicine, 03 medical and health sciences, 0302 clinical medicine, Transarterial embolization, R895-920, Case Report, Dural arteriovenous fistula, NBCA, 3. Good health |
| Popis: | Transarterial embolization using Onyx (Medtronic, Irvine, CA, USA) results in a high cure rate for complete obliteration of dural arteriovenous fistulas. However, incomplete obliteration occurs in some cases. Reports on the use of bailout therapy in such cases are limited. A 79-year-old man was diagnosed with Borden type III tentorial dural arteriovenous fistulas during a check-up for a headache. We first performed transarterial embolization with Onyx from a tentorial artery, but the fistula was not completely obliterated. We then performed an additional transarterial embolization with n-butyl-2-cyanoacrylate from the same artery in a single session, and the fistula was successfully bailed out, resulting in complete obliteration. Combining different liquid embolic materials, Onyx and n-butyl-2-cyanoacrylate, is an effective strategy for achieving complete obliteration in incomplete transarterial embolization treatment of dural arteriovenous fistulas. |
| Druh dokumentu: | Article Other literature type |
| Jazyk: | English |
| ISSN: | 1930-0433 |
| DOI: | 10.1016/j.radcr.2024.07.138 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/39263518 https://doaj.org/article/5bbc028845ac406a82cc7bad53b91abf |
| Rights: | CC BY |
| Prístupové číslo: | edsair.doi.dedup.....f27ed52b1b35960f6ccec8c42ebdfa98 |
| Databáza: | OpenAIRE |
| Abstrakt: | Transarterial embolization using Onyx (Medtronic, Irvine, CA, USA) results in a high cure rate for complete obliteration of dural arteriovenous fistulas. However, incomplete obliteration occurs in some cases. Reports on the use of bailout therapy in such cases are limited. A 79-year-old man was diagnosed with Borden type III tentorial dural arteriovenous fistulas during a check-up for a headache. We first performed transarterial embolization with Onyx from a tentorial artery, but the fistula was not completely obliterated. We then performed an additional transarterial embolization with n-butyl-2-cyanoacrylate from the same artery in a single session, and the fistula was successfully bailed out, resulting in complete obliteration. Combining different liquid embolic materials, Onyx and n-butyl-2-cyanoacrylate, is an effective strategy for achieving complete obliteration in incomplete transarterial embolization treatment of dural arteriovenous fistulas. |
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| ISSN: | 19300433 |
| DOI: | 10.1016/j.radcr.2024.07.138 |
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