RT Journal Article
SR Electronic
T1 Onyx embolization of anterior condylar confluence dural arteriovenous fistula
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2013010651
DO 10.1136/bcr-2013-010651
VO 2013
A1 Koichiro Takemoto
A1 Satoshi Tateshima
A1 Sachin Rastogi
A1 Nestor Gonzalez
A1 Reza Jahan
A1 Gary Duckwiler
A1 Fernando Vinuela
YR 2013
UL http://casereports.bmj.com/content/2013/bcr-2013-010651.abstract
AB The anterior condylar confluence (ACC) is a small complex venous structure located medial to the jugular vein and adjacent to the hypoglossal canal. To our knowledge, this is the first report of transvenous Onyx embolization for ACC dural arteriovenous fistula (DAVF). Three patients with ACC DAVF were treated using the Onyx liquid embolic agent with or without detachable coils. Complete angiographic obliteration of the fistulas was achieved in all cases without permanent lower cranial neuropathy. This report suggests that the controlled penetration of Onyx is advantageous in order to obliterate ACC DAVFs with a small amount of embolic material.