Article Text

Download PDFPDF

P006/55  Combination treatment approach for dural arteriovenous fistula involving pure isolated sinus: overcoming challenges with surgical and endovascular modalities
  1. Jong Hyun Park,
  2. Gi Yong Yun,
  3. Jae-Min Ann,
  4. Hyuk-Jin Oh,
  5. Jai-Joon Shim,
  6. Seok Mann Yoon,
  7. Beom Mo Kang
  1. Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Department of Neurosurgery, Cheonan, South Korea


Introduction Dural arteriovenous fistula (DAVF) is rare entity disease accounting approximately 1.5 per 1,000,000 persons per year. Transverse-sigmoid and cavernous sinuses is most involving site along all DAVF. While DAVF involving pure isolated sigmoid sinus which is extreme rare and this type have limited to treat by transfemoral, along opposite transverse sinus, transvenous embolization.

Case Presentation A 69-year-old woman with asymptomatic Borden III/ Cognard III DAVF involving the isolated sigmoid sinus underwent staged operation that open surgery using navigation system for exposure sigmoid sinus in operation room and transfer to angiosuite for transvenous embolization.

Conclusion Various modalities were introduced for treating DAVF including surgical disconnection, transarterial, transvenous embolization, stereotactic radiosurgery. However isolated sinus has limitation for treatment because of accessible route. Direct sinus cannulation and transvenous embolization can be most effective method for DAVF involving isolated sinus.

Disclosure of Interest The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.