Onyx Embolization of Spinal Arteriovenous Fistula via Scepter Balloon.
Publication/Presentation Date
2-1-2020
Abstract
BACKGROUND: Spinal arteriovenous fistulas (AVFs) are a rare entity that can have devastating neurologic outcomes. Currently, these lesions are treated via open microsurgical resection or transarterial embolization with good success. However, some patients cannot be treated with a minimally invasive endovascular technique secondary to difficulty catheterizing their vascular anatomy. Our aim is to present a case of balloon-assisted Onyx embolization of a spinal AVF.
CASE DESCRIPTION: We present the case of a 59-year-old male with progressive lower back pain with lower-extremity weakness. We performed a spinal angiogram where an AVF was identified with very torturous anatomy. The patient was originally treated with open microsurgical resection; however, ≈6 weeks later the fistula and symptoms returned. At that time, we were able to treat the lesion with the Scepter-C balloon.
CONCLUSIONS: We present a challenging case in which normal embolization microcatheters were unable to navigate difficult anatomy, but we were able to gain access and obliterate the fistula by using a balloon catheter.
Volume
134
First Page
62
Last Page
66
ISSN
1878-8769
Published In/Presented At
Lebovitz, J., Storey, C., Sweid, A., Tjoumakaris, S., Gooch, M. R., Rosenwasser, R., & Jabbour, P. (2020). Onyx Embolization of Spinal Arteriovenous Fistula via Scepter Balloon. World neurosurgery, 134, 62–66. https://doi.org/10.1016/j.wneu.2019.10.112
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
31669689
Department(s)
Administration and Leadership
Document Type
Article