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Article: Republished: Transradial approach in the treatment of a sacral dural arteriovenous fistula: a technical note

TitleRepublished: Transradial approach in the treatment of a sacral dural arteriovenous fistula: a technical note
Authors
Keywordsfistula
liquid embolic material
lumbosacral
spinal cord
spine
Issue Date2019
PublisherBMJ Group. The Journal's web site is located at http://jnis.bmj.com
Citation
Journal of NeuroInterventional Surgery, 2019, v. 11 n. 8, p. e4 How to Cite?
AbstractSacral dural arteriovenous fistulas (SDAVFs) are rare, constituting no more than 10% of all spinal dural fistulas. They are most commonly fed by the lateral sacral artery (LSA), a branch of the internal iliac artery (IIA). Catheterization of this vessel requires either a crossover at the aortic bifurcation in cases of right femoral access or retrograde catheterization from the ipsilateral common femoral artery. We present the case of a 79-year-old man with tethered cord syndrome and a symptomatic SDAVF fed by two feeders from the left LSA. Spinal diagnostic angiography was made exceptionally challenging by an aorto-bi-iliac endograft, and selective catheterization of the left IIA was not possible. The patient could not undergo surgery due to multiple comorbidities, therefore embolization was considered the best approach. The procedure was carried out through a transradial access (TRA) with Onyx and n-butyl cyanoacrylate. The SDAVF was successfully treated and the patient made a full neurological recovery.
DescriptionLink to Free access
Persistent Identifierhttp://hdl.handle.net/10722/271293
ISSN
2020 Impact Factor: 5.836
2020 SCImago Journal Rankings: 2.652
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorOrru, E-
dc.contributor.authorTsang, COA-
dc.contributor.authorKlostranec, JM-
dc.contributor.authorPereira, VM-
dc.date.accessioned2019-06-24T01:07:05Z-
dc.date.available2019-06-24T01:07:05Z-
dc.date.issued2019-
dc.identifier.citationJournal of NeuroInterventional Surgery, 2019, v. 11 n. 8, p. e4-
dc.identifier.issn1759-8478-
dc.identifier.urihttp://hdl.handle.net/10722/271293-
dc.descriptionLink to Free access-
dc.description.abstractSacral dural arteriovenous fistulas (SDAVFs) are rare, constituting no more than 10% of all spinal dural fistulas. They are most commonly fed by the lateral sacral artery (LSA), a branch of the internal iliac artery (IIA). Catheterization of this vessel requires either a crossover at the aortic bifurcation in cases of right femoral access or retrograde catheterization from the ipsilateral common femoral artery. We present the case of a 79-year-old man with tethered cord syndrome and a symptomatic SDAVF fed by two feeders from the left LSA. Spinal diagnostic angiography was made exceptionally challenging by an aorto-bi-iliac endograft, and selective catheterization of the left IIA was not possible. The patient could not undergo surgery due to multiple comorbidities, therefore embolization was considered the best approach. The procedure was carried out through a transradial access (TRA) with Onyx and n-butyl cyanoacrylate. The SDAVF was successfully treated and the patient made a full neurological recovery.-
dc.languageeng-
dc.publisherBMJ Group. The Journal's web site is located at http://jnis.bmj.com-
dc.relation.ispartofJournal of NeuroInterventional Surgery-
dc.rightsJournal of NeuroInterventional Surgery. Copyright © BMJ Group.-
dc.rightsThis article has been accepted for publication in [Journal, Year] following peer review, and the Version of Record can be accessed online at [insert full DOI eg. http://dx.doi.org/10.1136/xxxxx]. [© Authors (or their employer(s)) OR © BMJ Publishing Group Ltd ( for assignments of BMJ Case Reports)] <year>-
dc.subjectfistula-
dc.subjectliquid embolic material-
dc.subjectlumbosacral-
dc.subjectspinal cord-
dc.subjectspine-
dc.titleRepublished: Transradial approach in the treatment of a sacral dural arteriovenous fistula: a technical note-
dc.typeArticle-
dc.identifier.emailTsang, COA: acotsang@hku.hk-
dc.identifier.authorityTsang, COA=rp01519-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1136/neurintsurg-2019-014834.rep-
dc.identifier.scopuseid_2-s2.0-85069800142-
dc.identifier.hkuros297983-
dc.identifier.volume11-
dc.identifier.issue8-
dc.identifier.spagee4-
dc.identifier.epagee4-
dc.identifier.isiWOS:000484064400002-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl1759-8478-

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