Acta Neurochir (Wien) 2011 Jun 9;153(6):1285-90. Epub 2011 Apr 9.
Cerebrovascular and Endovascular Division, Department of Neurosurgery Tufts Medical Center, Tufts University School of Medicine, 800 Washington Street, Proger 7, Boston, MA, 02111, USA.
Background: Scalp arteriovenous fistulas (AVFs) are rare and potentially complex lesions that can be treated in a multimodal fashion. We present here the first successful treatment of a Stage Ib scalp AVF using a balloon-protected, retrograde transvenous embolization with the liquid embolic Onyx.
Method: We describe the case of a 60-year-old man with a scalp AVF that had a fine, diffuse, serpiginous arterial supply, precluding a transarterial approach, and multiple venous drainage paths, including the external jugular vein (EJV). Read More