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Anterior cranial fossa dural arteriovenous fistula: Transarterial embolization from the ophthalmic artery as first-line treatment

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Piergallini, Lorenzo | Tardieu, Maxime | Cagnazzo, Federico | Gascou, Grégory | Dargazanli, Cyril | Derraz, Imad | Costalat, Vincent | Bonafé, Alain | Lefevre, Pierre-Henri

Edité par CCSD ; Elsevier Masson -

International audience. Objective: To retrospectively review the outcome of patients with dural arteriovenous fistula of the anterior cranial fossa (afDAVF) treated by transarterial embolization.Material and methods: Six consecutive patients were referred to our hospital for afDAVF treatment. After a multidisciplinary discussion, they underwent endovascular embolization with Onyx injection through the ophthalmic artery. Their clinical presentation, management and outcomes were retrospectively assessed.Results: All interventions were performed with the liquid embolic agent Onyx through the transarterial route from the ophthalmic artery to access the fistulous point. All patients showed a good outcome with complete afDAVF obliteration.Conclusion: This study demonstrates that afDAVFs can be safely and completely obliterated by transarterial embolization via the ophthalmic artery.

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