Venous Sinus Stenting Alone as an Effective Treatment for Complex Dural Arteriovenous Fistulas with Sinus Thrombosis
Dural arteriovenous fistulas (dAVFs) are rare vascular malformations, often complicated by sinus thrombosis and cortical reflux. We report a patient with a Cognard Type IIb dAVF at the right transverse sinus and ipsilateral sigmoid sinus thrombosis, unsuitable for conventional embolization due to co...
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Korean Society of Interventional Neuroradiology
2025-07-01
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| Series: | Neurointervention |
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| Online Access: | http://neurointervention.org/upload/pdf/neuroint-2025-00262.pdf |
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| author | Maximilian Thormann Roland Schwab Anastasios Mpotsaris Maciej Powerski Daniel Behme |
| author_facet | Maximilian Thormann Roland Schwab Anastasios Mpotsaris Maciej Powerski Daniel Behme |
| author_sort | Maximilian Thormann |
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| description | Dural arteriovenous fistulas (dAVFs) are rare vascular malformations, often complicated by sinus thrombosis and cortical reflux. We report a patient with a Cognard Type IIb dAVF at the right transverse sinus and ipsilateral sigmoid sinus thrombosis, unsuitable for conventional embolization due to contralateral sinus hypoplasia. A novel therapeutic approach involving direct jugular vein puncture, venous recanalization, and stenting using a stiff 0.035-inch guidewire effectively downgraded the dAVF to Cognard Type I. At 3-month follow-up, stable angiographic outcomes, marked clinical improvement, and absence of seizures confirmed the efficacy of sinus stenting as a standalone treatment in an anatomically challenging case. |
| format | Article |
| id | doaj-art-e45b3ed4e10343e883191b3122fbdc00 |
| institution | OA Journals |
| issn | 2093-9043 2233-6273 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj-art-e45b3ed4e10343e883191b3122fbdc002025-08-20T02:35:47ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732025-07-01202899310.5469/neuroint.2025.00262463Venous Sinus Stenting Alone as an Effective Treatment for Complex Dural Arteriovenous Fistulas with Sinus ThrombosisMaximilian Thormann0Roland Schwab1Anastasios Mpotsaris2Maciej Powerski3Daniel Behme4 Department of Neuroradiology, University Hospital Magdeburg, Magdeburg, Germany Department of Neuroradiology, University Hospital Magdeburg, Magdeburg, Germany Institute for Diagnostic and Interventional Radiology, Munich Hospital Harlaching, Munich, Germany Department of Radiology and Nuclear Medicine, University Hospital Magdeburg, Magdeburg, Germany Department of Neuroradiology, University Hospital Magdeburg, Magdeburg, GermanyDural arteriovenous fistulas (dAVFs) are rare vascular malformations, often complicated by sinus thrombosis and cortical reflux. We report a patient with a Cognard Type IIb dAVF at the right transverse sinus and ipsilateral sigmoid sinus thrombosis, unsuitable for conventional embolization due to contralateral sinus hypoplasia. A novel therapeutic approach involving direct jugular vein puncture, venous recanalization, and stenting using a stiff 0.035-inch guidewire effectively downgraded the dAVF to Cognard Type I. At 3-month follow-up, stable angiographic outcomes, marked clinical improvement, and absence of seizures confirmed the efficacy of sinus stenting as a standalone treatment in an anatomically challenging case.http://neurointervention.org/upload/pdf/neuroint-2025-00262.pdfcentral nervous system vascular malformationssinus thrombosisintracranialstents |
| spellingShingle | Maximilian Thormann Roland Schwab Anastasios Mpotsaris Maciej Powerski Daniel Behme Venous Sinus Stenting Alone as an Effective Treatment for Complex Dural Arteriovenous Fistulas with Sinus Thrombosis Neurointervention central nervous system vascular malformations sinus thrombosis intracranial stents |
| title | Venous Sinus Stenting Alone as an Effective Treatment for Complex Dural Arteriovenous Fistulas with Sinus Thrombosis |
| title_full | Venous Sinus Stenting Alone as an Effective Treatment for Complex Dural Arteriovenous Fistulas with Sinus Thrombosis |
| title_fullStr | Venous Sinus Stenting Alone as an Effective Treatment for Complex Dural Arteriovenous Fistulas with Sinus Thrombosis |
| title_full_unstemmed | Venous Sinus Stenting Alone as an Effective Treatment for Complex Dural Arteriovenous Fistulas with Sinus Thrombosis |
| title_short | Venous Sinus Stenting Alone as an Effective Treatment for Complex Dural Arteriovenous Fistulas with Sinus Thrombosis |
| title_sort | venous sinus stenting alone as an effective treatment for complex dural arteriovenous fistulas with sinus thrombosis |
| topic | central nervous system vascular malformations sinus thrombosis intracranial stents |
| url | http://neurointervention.org/upload/pdf/neuroint-2025-00262.pdf |
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