I’d like to share this case of,
Cerebral dural AV fistula embolization using histocryl (n-Butyl cyanoacrylate) at Vellammal hospital and medical college, Madurai, India. I was happy to work with Dr Ganesh Kumar, Senior consultant neurosurgeon.
43 year old gentleman with history of previous CVST and now ongoing recurrent severe headaches was evaluated with MRI and cerebral DSA which showed bilateral Cognard type II a+b dural AV fistula at the superior sagital sinus fed by anterior MMA.
After super selective angiograms, both MMA feeders showed multiple tight loops. On the left the microwire straightened the loops and Asahi parkway went close to the fistula. On the right it wouldn’t negotiate a mid proximal very acute loop. I went on to embolize both sides with glue achieving complete obliteration.
Patient woke intact with headaches improving was discharged third day post procedure.
