Endovascular management of sigmoid sinus dural arteriovenous fistula associated with sinus stenosis in an infant

José E. Cohen, John M. Gomori, Moni Benifla, Eyal Itshayek, Samuel Moscovici

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

A 4-month-old female presented with a dural arteriovenous fistula (DAVF), which was successfully managed using endovascular techniques. There are very few case series reporting DAVF in infants younger than 12 months and, to our knowledge, only 60 pediatric patients with DAVF have been reported to date. Although most DAVF have a benign course, they can result in life-threatening hemorrhage. Endovascular therapies are usually indicated in the management of these neurosurgical vascular malformations. Endovascular therapy of DAVF in neonatal patients presents some major issues. Gaining arterial access may be problematic in femoral arteries too small for the introduction of a sizeable guiding catheter. The volumes of contrast and infused fluids must be carefully monitored to prevent fluid overload. Radiation exposure should be restricted as far as possible. This report contributes to the limited body of evidence on neonatal DAVF and its endovascular management.

Original languageEnglish
Pages (from-to)168-170
Number of pages3
JournalJournal of Clinical Neuroscience
Volume20
Issue number1
DOIs
StatePublished - 1 Jan 2013
Externally publishedYes

Keywords

  • Bruit
  • Dural arteriovenous fistula
  • Endovascular treatment
  • Neonates
  • Vascular malformation

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