Treatment of dural arteriovenous fistula by balloon-assisted transarterial embolization with Onyx

Jian Ping Deng, Tao Zhang, Jiang Li, Jia Yu, Zhen Wei Zhao*, Guo Dong Gao

*Corresponding author for this work

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Objective This study evaluated the feasibility, safety, and efficacy of embolization of dural arteriovenous fistula via a very small, short feeding artery with the assistance of a balloon placed proximal to the tip of the microcatheter, such that the balloon serves as a plug. Methods Eight patients who underwent treatment of DAVF by balloon-assisted transarterial embolization with Onyx were retrospectively reviewed. Gender, age, angiography findings, procedure details, clinical and angiographic outcomes, complications, and follow-up were recorded and analyzed. Results Nine embolization procedures were performed in eight male patients via extracranial arteries. Balloon-assisted embolization was successful in all eight patients. A Hyperglide balloon was used in five patients, and a Hyperform balloon was used in three patients. Angiographic resolution of the fistula was achieved in all patients without complications. All patients recovered uneventfully. During the follow-up period of 7-19 months, all patients were asymptomatic except for one patient who experienced mild headaches. Conclusions Treatment of DAVF by balloon-assisted embolization with Onyx achieved promising results, even in patients with very small and short feeding arteries. This technique allowed the treatment of DAVF cases where other techniques have failed.

Original languageEnglish (US)
Pages (from-to)1992-1997
Number of pages6
JournalClinical Neurology and Neurosurgery
Volume115
Issue number10
DOIs
StatePublished - Oct 1 2013

Keywords

  • Arteriovenous fistula
  • Balloon assistance
  • Embolization
  • Onyx

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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