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  • Title: Balloon-assisted transarterial embolization of type 1 spinal dural arteriovenous fistula.
    Author: Lee B, Mehta VA, Mack WJ, Tenser MS, Amar AP.
    Journal: Neurosurg Focus; 2014 Jul; 37(1 Suppl):1. PubMed ID: 24983724.
    Abstract:
    Type 1 spinal dural arteriovenous fistula (dAVF) constitute the vast majority of all spinal vascular malformations. Here we present the case of a 71-year-old male with progressive myelopathy, lower-extremity weakness and numbness, and urinary incontinence. MRI imaging of the thoracic spine demonstrated cord edema, and catheter spinal angiography confirmed a type 1 spinal dAVF. The fistula was supplied by small dural branches of the left L-2 segmental artery. Angiographic cure was achieved with a one-stage procedure in which coils were used to occlude the distal segmental vessels, followed by balloon-assisted embolization with Onyx. The video can be found here: http://youtu.be/8aehJbueH0U .
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