Treatment of dural arteriovenous fistula around the anterior condylar confluent -simultaneous treatment with endovascular techniques and gamma knife radiosurgery- Keywords: dural arteriovenous fistula, gamma knife, arteriovenous fistula, embolization, outcomeInteractive Manuscript
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What is the background behind your study?
A case of dural arteriovenous fistula(DAVF) around the anterior condylar confluent(ACC) was treated with simultaneous treatment with endovascular techniques and gamma knife radiosurgery in one day and was reported here.
What is the purpose of your study?
Our purpose was to report the outcome of a DAVF in this location.
Describe your patient group.
This was a single patient case report.
Describe what you did.
A 61-year-old-man presented with audible pulse-synchronous bruit. Angiogram showed DAVF around the anterior condylar confluent(ACC) with fine vessel shuntings . DAVF was fed by the ascending pharyngeal artery(APA) and posterior meningeal artery. At first, streotactic frame for Gamma knife radiosurgery(GKRS) was set on patient’s head. And then, the patient was treated with trans-arterial coil embolization of APA. And the fine vessel shuntings were treated with GKRS simultaneously in one day.
Describe your main findings.
Follow-up angiogram performed 1-year-after the treatment showed disappearance of DAVF. And the audible bruit was completely improved.
Describe the main limitation of this study.
This was a retrospective review.
Describe your main conclusion.
A case of DAVF around the ACC was successfully treated with this strategy.
Describe the importance of your findings and how they can be used by others.
This simultaneous stage of treatment with endovascular techniques and GKRS seems to be safe and effective for the treatment of DAVF around ACC.
A case of dural arteriovenous fistula(DAVF) around the anterior condylar confluent(ACC) was treated with simultaneous treatment with endovascular techniques and gamma knife radiosurgery in one day and was reported here.
Our purpose was to report the outcome of a DAVF in this location.
This was a single patient case report.
A 61-year-old-man presented with audible pulse-synchronous bruit. Angiogram showed DAVF around the anterior condylar confluent(ACC) with fine vessel shuntings . DAVF was fed by the ascending pharyngeal artery(APA) and posterior meningeal artery. At first, streotactic frame for Gamma knife radiosurgery(GKRS) was set on patient’s head. And then, the patient was treated with trans-arterial coil embolization of APA. And the fine vessel shuntings were treated with GKRS simultaneously in one day.
Follow-up angiogram performed 1-year-after the treatment showed disappearance of DAVF. And the audible bruit was completely improved.
This was a retrospective review.
A case of DAVF around the ACC was successfully treated with this strategy.
This simultaneous stage of treatment with endovascular techniques and GKRS seems to be safe and effective for the treatment of DAVF around ACC.
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