Anterior cranial fossa dural arteriovenous fistula: Transarterial embolization from the ophthalmic artery as first-line treatment - 06/07/19

Doi : 10.1016/j.neurad.2019.05.009

Lorenzo Piergallini ^a,^b, Maxime Tardieu ^c, Federico Cagnazzo ^a, Grégory Gascou ^a, Cyril Dargazanli ^a, Imad Derraz ^a, Vincent Costalat ^a, Alain Bonafé ^a, Pierre-Henri Lefevre ^a,^⁎
^a Department of Interventional and Diagnostic Neuroradiology, Montpellier University Hospital, Montpellier, France
^b Postgraduation School of Radiodiagnostics, Università degli Studi di Milano, Milan, Italy
^c Department of Radiology, Perpignan Hospital, Perpignan, France

^⁎Corresponding author at: Service de Neuroradiologie interventionnelle et diagnostique, CHU de Montpellier, Hôpital Gui de Chauliac, 80, avenue Augustin Fliche, 34295 Montpellier, France.Service de Neuroradiologie interventionnelle et diagnostique, CHU de Montpellier, Hôpital Gui de Chauliac80, avenue Augustin FlicheMontpellier34295France

En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Saturday 06 July 2019
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Graphical abstract

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Highlights

•	This study demonstrates that anterior fossa dural arteriovenous fistulas can be safely and completely obliterated by transarterial embolization via the ophthalmic artery with Onyx.

El texto completo de este artículo está disponible en PDF.

Abstract

Objective

To retrospectively review the outcome of patients with dural arteriovenous fistula of the anterior cranial fossa (afDAVF) treated by transarterial embolization.

Material and methods

Six consecutive patients were referred to our hospital for afDAVF treatment. After a multidisciplinary discussion, they underwent endovascular embolization with Onyx injection through the ophthalmic artery. Their clinical presentation, management and outcomes were retrospectively assessed.

Results

All interventions were performed with the liquid embolic agent Onyx through the transarterial route from the ophthalmic artery to access the fistulous point. All patients showed a good outcome with complete afDAVF obliteration.