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
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
Popis
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.
ISSN:19300433
DOI:10.1016/j.radcr.2024.07.138