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Balloon protection of the vein of Labbé during embolisation of a dural arteriovenous fistula

Singh, Jasmeet
Kuhn, Anna Luisa
de Macedo Rodrigues, Katyucia
Puri, Ajit S
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UMass Chan Affiliations
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Journal Article
Publication Date
2022-12-30
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Abstract

We describe a novel technique of vein of Labbé preservation using balloon protection during embolisation of a transverse-sigmoid sinus dural arteriovenous fistula. A patient with refractory Cognard type IV fistula of the left transverse-sigmoid sinus and persistent pulsatile tinnitus underwent successful embolisation of the lesion via transarterial route. During embolisation, a dual lumen balloon was simultaneously inflated within the vein of Labbé, at its orifice in the transverse-sigmoid sinus junction, to prevent embolic reflux. This allowed for liquid embolic embolisation of the fistula via the transarterial route resulting in complete occlusion. The patient recovered well with marked improvement of his tinnitus.

Source

Singh J, Kühn AL, de Macedo Rodrigues K, Puri AS. Balloon protection of the vein of Labbé during embolisation of a dural arteriovenous fistula. BMJ Case Rep. 2022 Dec 30;15(12):e252830. doi: 10.1136/bcr-2022-252830. PMID: 36585055; PMCID: PMC9809238.

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DOI
10.1136/bcr-2022-252830
PubMed ID
36585055
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© BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.
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