Transarterial embolization in dural arteriovenous fistulas under sinus balloon protection using the SHOURYU supercompliant balloon

Objective: Transarterial embolization under intrasinus balloon protection is an efficient treatment strategy for intracranial arteriovenous fistula. Ordinary balloon protection methods using the Copernic RC balloon may occlude the normal drainage route, and the occurrence of venous complications is...

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Autores principales:	Hajime Yabuzaki, Tomoaki Terada, Tomoyuki Tsumoto, Yoshikazu Matsuda, Yuko Tanaka, Sadayoshi Nakayama, Akira Nishiyama, Yoshiaki Tetsuo
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Fistula Occlusion Supercompliant balloon Transvenous embolization Transarterial embolization Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2e34cdee6e3347c2b7050357ec6c1522
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spelling	oai:doaj.org-article:2e34cdee6e3347c2b7050357ec6c15222021-11-12T04:35:11ZTransarterial embolization in dural arteriovenous fistulas under sinus balloon protection using the SHOURYU supercompliant balloon2214-751910.1016/j.inat.2021.101415https://doaj.org/article/2e34cdee6e3347c2b7050357ec6c15222022-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214751921003273https://doaj.org/toc/2214-7519Objective: Transarterial embolization under intrasinus balloon protection is an efficient treatment strategy for intracranial arteriovenous fistula. Ordinary balloon protection methods using the Copernic RC balloon may occlude the normal drainage route, and the occurrence of venous complications is concerning. The aim of this study was to report the efficacy of the supercompliant SHOURYU balloon catheter for intrasinus balloon protection while preserving the normal venous outlet. Methods: Eighteen patients with dural arteriovenous fistulas who were treated with transarterial embolization under intrasinus balloon protection between April 2011 and July 2020 were included. All lesions were treated with transarterial embolization under intrasinus balloon protection using the SHOURYU balloon catheter. Clinical and angiographic data were retrospectively collected, and the occlusion rate, complications, and clinical outcomes were analyzed. Results: Nine men and nine women were treated, and their average age was 61.1 years. Fistulas were located at the transverse-sigmoid sinus (n = 13), superior sagittal sinus (n = 3), tentorial sinus (n = 1), and around the torcular Herophili (n = 1). Ten patients were classified as Borden typeⅠand eight as Borden type Ⅱ. Complete (n = 9) or near-complete (n = 4) occlusion was achieved in 72.2% of the patients. Periprocedural complications, but no venous complications were observed in two patients. Symptoms were not aggravated after treatment. Conclusions: Transarterial embolization under intrasinus balloon protection using the SHOURYU balloon catheter is effective and safe for treatment of dural arteriovenous fistulas while maintaining the patency of the venous sinus.Hajime YabuzakiTomoaki TeradaTomoyuki TsumotoYoshikazu MatsudaYuko TanakaSadayoshi NakayamaAkira NishiyamaYoshiaki TetsuoElsevierarticleFistulaOcclusionSupercompliant balloonTransvenous embolizationTransarterial embolizationSurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENInterdisciplinary Neurosurgery, Vol 27, Iss , Pp 101415- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Fistula Occlusion Supercompliant balloon Transvenous embolization Transarterial embolization Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Fistula Occlusion Supercompliant balloon Transvenous embolization Transarterial embolization Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429 Hajime Yabuzaki Tomoaki Terada Tomoyuki Tsumoto Yoshikazu Matsuda Yuko Tanaka Sadayoshi Nakayama Akira Nishiyama Yoshiaki Tetsuo Transarterial embolization in dural arteriovenous fistulas under sinus balloon protection using the SHOURYU supercompliant balloon
description	Objective: Transarterial embolization under intrasinus balloon protection is an efficient treatment strategy for intracranial arteriovenous fistula. Ordinary balloon protection methods using the Copernic RC balloon may occlude the normal drainage route, and the occurrence of venous complications is concerning. The aim of this study was to report the efficacy of the supercompliant SHOURYU balloon catheter for intrasinus balloon protection while preserving the normal venous outlet. Methods: Eighteen patients with dural arteriovenous fistulas who were treated with transarterial embolization under intrasinus balloon protection between April 2011 and July 2020 were included. All lesions were treated with transarterial embolization under intrasinus balloon protection using the SHOURYU balloon catheter. Clinical and angiographic data were retrospectively collected, and the occlusion rate, complications, and clinical outcomes were analyzed. Results: Nine men and nine women were treated, and their average age was 61.1 years. Fistulas were located at the transverse-sigmoid sinus (n = 13), superior sagittal sinus (n = 3), tentorial sinus (n = 1), and around the torcular Herophili (n = 1). Ten patients were classified as Borden typeⅠand eight as Borden type Ⅱ. Complete (n = 9) or near-complete (n = 4) occlusion was achieved in 72.2% of the patients. Periprocedural complications, but no venous complications were observed in two patients. Symptoms were not aggravated after treatment. Conclusions: Transarterial embolization under intrasinus balloon protection using the SHOURYU balloon catheter is effective and safe for treatment of dural arteriovenous fistulas while maintaining the patency of the venous sinus.
format	article
author	Hajime Yabuzaki Tomoaki Terada Tomoyuki Tsumoto Yoshikazu Matsuda Yuko Tanaka Sadayoshi Nakayama Akira Nishiyama Yoshiaki Tetsuo
author_facet	Hajime Yabuzaki Tomoaki Terada Tomoyuki Tsumoto Yoshikazu Matsuda Yuko Tanaka Sadayoshi Nakayama Akira Nishiyama Yoshiaki Tetsuo
author_sort	Hajime Yabuzaki
title	Transarterial embolization in dural arteriovenous fistulas under sinus balloon protection using the SHOURYU supercompliant balloon
title_short	Transarterial embolization in dural arteriovenous fistulas under sinus balloon protection using the SHOURYU supercompliant balloon
title_full	Transarterial embolization in dural arteriovenous fistulas under sinus balloon protection using the SHOURYU supercompliant balloon
title_fullStr	Transarterial embolization in dural arteriovenous fistulas under sinus balloon protection using the SHOURYU supercompliant balloon
title_full_unstemmed	Transarterial embolization in dural arteriovenous fistulas under sinus balloon protection using the SHOURYU supercompliant balloon
title_sort	transarterial embolization in dural arteriovenous fistulas under sinus balloon protection using the shouryu supercompliant balloon
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/2e34cdee6e3347c2b7050357ec6c1522
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Transarterial embolization in dural arteriovenous fistulas under sinus balloon protection using the SHOURYU supercompliant balloon

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