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KMID : 1005420170190020106
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Journal of Cerebrovascular and Endovascular Neurosurgery
2017 Volume.19 No. 2 p.106 ~ p.110
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Fluoroscopy-guided Combined (Surgical/Endovascular) Treatment of Dural Arteriovenous Fistula
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Park So-Hee
Kim Jong-Hoon
Chang Chul-Hoon
Jung Young-Jin
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Abstract
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For dural arteriovenous fistula (DAVF), when the usual endovascular or neurosurgical approaches are difficult to treat, multi-modal treatment can be helpful. We present a case of a 71-year-old woman with DAVF, who presented with an intracerebral haemorrhage. Digital subtraction angiography revealed a DAVF of the transverse sinus, with cortical venous reflux. Transvenous and transarterial approaches for coil embolization failed. In the operating room, a small craniotomy was performed, and coil embolization was done under fluoroscopy. Transcranial venous embolization might be a useful method to occlude DAVF in a case that is difficult to access by usual surgical or endovascular approaches.
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KEYWORD
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Arteriovenous fistula, Transverse sinuses, Endovascular procedures, Neurosurgical procedures
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