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Updated: May 16, 2026
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Transvenous balloon-assisted transarterial Onyx embolization of transverse-sigmoid dural arteriovenous malformation
Pakrit Jittapiromsak1, Léon Ikka, Nidhal Benachour
1Interventional Neuroradiology-NEURI Center, Beaujon Hospital, 100 boulevard du General Leclerc, 92118 Clichy, France.
Introduction:
Endovascular treatment of dural arteriovenous malformation is challenging especially if the related dural venous sinus is patent and might be usable for normal venous drainage.
Methods:
A new particular venous balloon remodeling technique was described in the treatment of transverse-sigmoid dural arteriovenous malformation by using transarterial Onyx. The goal was obliteration of the malformation with preservation of the dural sinus. Two illustrative cases with 6-month follow-up result were narrated.
Results:
The penetration of Onyx in the dural arterial feeders was well achieved. Obliteration of the malformation with preservation of the dural sinus was finally demonstrated.
Conclusion:
Transvenous balloon assistance is a useful and feasible technique in the treatment of dural arteriovenous malformation when sinus preservation is in concern.
