Microcatheter pull-up technique in the transvenous embolization of an isolated sinus dural arteriovenous fistula

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✓ The authors describe a novel technique involving the use of a gooseneck snare for microcatheterization of isolated sinus dural arteriovenous fistulas (DAVFs). In some patients the inferior petrosal and transverse–sigmoid sinuses, the route of transvenous embolization (TVE) for DAVF, are separated by several channels. Even if a guidewire can be passed over the occluded portion and the affected sinus can be accessed, one may not necessarily be able to insert a microcatheter. The authors report on three patients who underwent successful microcatheterization via a novel pull-up technique, which makes use of a gooseneck snare to perform TVE even in very difficult circumstances.

Abbreviations used in this paper:DAVF = dural arteriovenous fistula; TVE = transvenous embolization.
Article Information

Contributor Notes

Address reprint requests to: Mami Hanaoka, M.D., Department of Neurosurgery, School of Medicine, The University of Tokushima, 3-18-15, Kuramoto-cho, Tokushima 770-8503, Japan. email: neuros@clin.med.tokushima-u.ac.jp.

© AANS, except where prohibited by US copyright law.

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