Transnasal flow reduction in endovascular treatment for anterior cranial fossa dural arteriovenous fistula.
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
16
07
2020
accepted:
27
07
2020
entrez:
30
10
2020
pubmed:
31
10
2020
medline:
31
10
2020
Statut:
epublish
Résumé
Transarterial embolization (TAE) is a useful option for anterior cranial fossa-dural arteriovenous fistula (ACF-dAVF) as endovascular devices have progressed. Liquid agents are usually injected via a microcatheter positioned just proximal to the shunt pouch beyond the ophthalmic artery; however, high blood flow from the internal maxillary artery (IMA) often impedes penetration of embolic materials into the shunt pouch. Therefore, reducing blood flow from the IMA before embolization can increase the success rate. In the present case, to reduce blood flow from branches of the IMA, we inserted surgical gauze infiltrated with xylocaine and epinephrine into bilateral nasal cavities. Using this method, we achieved curative TAE with minimal damage to the nasal mucosa. Transnasal flow reduction is an easy, effective and minimally invasive method. This method should be considered in the endovascular treatment of ACF-dAVF, especially in patients with high blood flow from theIMA.
Identifiants
pubmed: 33123340
doi: 10.1093/jscr/rjaa327
pii: rjaa327
pmc: PMC7573859
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjaa327Informations de copyright
Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020.
Références
Neurosurgery. 1999 Oct;45(4):805-10; discussion 810-1
pubmed: 10515474
AJNR Am J Neuroradiol. 2009 Oct;30(9):1637-45
pubmed: 19372207
Neuroradiology. 2008 May;50(5):433-7
pubmed: 18288476
World Neurosurg. 2016 Sep;93:94-9
pubmed: 27241099
J Clin Neurosci. 2013 Feb;20(2):287-91
pubmed: 23219832
Laryngoscope. 2007 Sep;117(9):1683-4
pubmed: 17667134
J Neurosurg. 2009 Jan;110(1):79-84
pubmed: 18847336