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| Name | Lt temporal craniotomy & direct microcath of the middle meningeal artery for complex temporal dAVF |
| Video Uploader | Video From American Association of Neurological Surgeons |
| Upload Date | This Video Uploaded At 07-11-2019 17:45:33 |
| Video Discription | Daniel M. S. Raper, MBBS, Nasser Mohammed, MD, M. Yashar S. Kalani, MD, PhD, and Min S. Park, MD Department of Neurosurgery, University of Virginia Health System, Charlottesville, Virginia The preferred method for treating complex dural arteriovenous fistulae of the transverse and sigmoid sinuses is via endovascular, transarterial embolization using liquid embolysate. However, this treatment approach mandates access to distal dural feeding arteries that can be technically challenging by standard endovascular approaches. This video describes a left temporal craniotomy for direct stick microcatheterization of an endovascularly inaccessible distal posterior division of the middle meningeal artery for embolization of a complex left temporal dural arteriovenous fistula. The case was performed in the hybrid operative suite with biplane intraoperative angiography. Technical considerations, operative nuances, and outcomes are reviewed. Include when citing: Published online April 1, 2019; DOI: http://thejns.org/doi/abs/10.3171/2019.4.FocusVid.18650. |
| Category | Film & Animation |
| Tags | dural arteriovenous fistula | dAVF | endovascular | Onyx | surgical technique | transarterial embolization | transverse sinus | sigmoid sinus | microcatheterization | meningeal artery | hybrid operative suite | Journal of Neurosurgery | AANS | Neurosurgical Focus |
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