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Date Published: 12/06/2021
Abstract Views: 206
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DOI: https://doi.org/10.51298/vmj.v500i2.399
Issue
Vol. 500 No. 2 (2021)
Section
Các bài báo
How to Cite
Anh Tuấn, T. . (2021). ENDOVASCULAR TREATMENT OF DURAL ARTERIOVENOUS FISTULAS OF THE CARVENOUS SINUSES USING TRANSARTERIAL INTERVENTION COMBINED WITH TRANSVENOUS BALLOON PROTECTION OF THE VENOUS SINUS. Vietnam Medical Journal, 500(2). https://doi.org/10.51298/vmj.v500i2.399

ENDOVASCULAR TREATMENT OF DURAL ARTERIOVENOUS FISTULAS OF THE CARVENOUS SINUSES USING TRANSARTERIAL INTERVENTION COMBINED WITH TRANSVENOUS BALLOON PROTECTION OF THE VENOUS SINUS

Trần Anh Tuấn

Main Article Content

Abstract

Studying the results of treatment of intrathoracic epidural fistula by intervention with intravenous sinus ballon protection. Objects and methods: Patients with epidural fistula causes of veins outside the cavernous sinus, are treated by intervene the arteries with Onyx embolization, and also have access to the intravenous route , using to insert the balloon protect the sinuses. Results: With 15 patients have treated, 13 patients had 1 fistular route, 2 patients had 2 independent fistula route, of which mainly groups IIa, IIb, IIa + b, accounting for 94% according to Cognard classification. The main route of access to the artery is the middle meningeal (100% of patients) and the occipital branch (88.2% of patients). As a result, the total occlusion  in 13 patients, (86.7%)no signs of symptoms in 8 patients (53.3%), improved symtoms in 4 patients (26.7%), there were 4 cases of internal complications. 1 case of mRS 5 (6.7%).Conclusion: Treatment of periosteal epidural arterial fistula with a balloon to protect the venous sinus is effective and minimizes the risk.

Article Details

Keywords

dural arteriovenous fistula, embolization, balloon

References

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