Dural Arteriovenous Fistula Involving the Transverse Sigmoid Sinus After Treatment: Assessment with Magnetic Resonance Digital Subtraction Angiography

Overview

Journal Neuroradiology

Specialties Neurology
Radiology

Date 2007 Mar 21

PMID 17372729

Citations 6

Authors

Kyo Noguchi

Naoya Kuwayama

Michiya Kubo

Yuichi Kamisaki

Gakuto Tomizawa

Keisuke Kameda

Hideto Kawabe

Shinichi Ogawa

Hiroshi Kato

Masashi Shimizu

Naoto Watanabe

Hikaru Seto

Affiliations

Soon will be listed here.

Abstract

Introduction: The purpose of this study was to evaluate the utility of magnetic resonance digital subtraction angiography (MRDSA) in showing the presence or absence of retrograde venous drainage (RVD) in patients with intracranial dural arteriovenous fistula (DAVF) involving the transverse sigmoid sinus (TSS) after treatment.

Methods: Of 16 patients with DAVF involving the TSS, 13 underwent digital subtraction angiography (DSA) and MRDSA before and after treatment, and 3 underwent DSA before treatment and DSA and MRDSA after treatment. Five patients underwent these procedures twice after treatment. A total of 21 examinations after treatment were evaluated retrospectively. The presence or absence of DAVF and RVD was decided on the basis of the DSA findings. Two neuroradiologists reviewed the MRDSA findings concerning the presence or absence of DAVF and RVD.

Results: DSA showed residual DAVF in 9 and residual RVD in 5 of 21 examinations. MRDSA revealed residual DAVF in 8 of 21 examinations. MRDSA did not show residual DAVF in one examination because of a very small (low-flow) residual DAVF without RVD. MRDSA identified residual RVD in 5 of 21 examinations. MRDSA was completely consistent with DSA concerning the presence or absence of residual RVD.

Conclusion: MRDSA could evaluate the presence or absence of RVD in patients with DAVF involving TSS after treatment. MRDSA may give reliable information as to whether patients with DAVF involving the TSS should undergo additional DSA after treatment.

Citing Articles

Current status of endovascular treatment for dural arteriovenous fistula of the transverse-sigmoid sinus: A literature review.

Xu K, Yang X, Li C, Yu J Int J Med Sci. 2018; 15(14):1600-1610.

PMID: 30588182 PMC: 6299407. DOI: 10.7150/ijms.27683.

Detection and grading of dAVF: prospects and limitations of 3T MRI.

Bink A, Berkefeld J, Wagner M, You S, Ackermann H, Lorenz M Eur Radiol. 2011; 22(2):429-38.

PMID: 21932162 DOI: 10.1007/s00330-011-2268-2.

Intracranial dural arteriovenous fistula with retrograde cortical venous drainage: use of susceptibility-weighted imaging in combination with dynamic susceptibility contrast imaging.

Noguchi K, Kuwayama N, Kubo M, Kamisaki Y, Kameda K, Tomizawa G AJNR Am J Neuroradiol. 2010; 31(10):1903-10.

PMID: 20813875 PMC: 7964045. DOI: 10.3174/ajnr.A2231.

Flow-sensitive alternating inversion recovery (fair) imaging for retrograde cortical venous drainage related to intracranial dural arteriovenous fistula.

Noguchi K, Kuwayama N, Kubo M, Kamisaki Y, Kameda K, Tomizawa G Neuroradiology. 2010; 53(3):153-8.

PMID: 20563798 DOI: 10.1007/s00234-010-0711-8.

Intraarterial and intravenous treatment of transverse/sigmoid sinus dural arteriovenous fistulas.

Lv X, Jiang C, Li Y, Yang X, Wu Z Interv Neuroradiol. 2010; 15(3):291-300.

PMID: 20465912 PMC: 3299375. DOI: 10.1177/159101990901500306.

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