Transvenous embolization of cerebrospinal fluid-venous fistulas: A comprehensive technical video guide

Cerebrospinal fluid (CSF)-venous fistulas necessitate a comprehensive understanding of spinal venous anatomy for successful embolization.<sup>1</sup> This video details the essential technical and anatomical nuances of CSF-venous fistula embolization at various spinal levels, including the cervical, thoracic, and lumbar spine. Precise microcatheter navigation, guided by a detailed understanding of spinal venous anatomy, is crucial for reaching the fistula site and successful treatment. Embolization typically focuses on the foraminal vein, paraspinal vein, and lateral epidural plexus, aiming to create a comprehensive liquid embolic plug.<sup>2</sup> As experience with this procedure grows, continued refinement of techniques and exploration of optimal access routes will further enhance success rates.

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Publication Details

Journal
Interventional Neuroradiology
Published
2024-08-11
DOI
https://doi.org/10.1177/15910199241264859
Primary Topic
Vascular Malformations Diagnosis and Treatment
Type
article
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article

Transvenous embolization of cerebrospinal fluid-venous fistulas: A comprehensive technical video guide

Waleed Brinjikji, Soliman Oushy, Nicholas Borg
Interventional Neuroradiology
Vascular Malformations Diagnosis and Treatment
article

Transvenous embolization of cerebrospinal fluid-venous fistulas: A comprehensive technical video guide

Waleed Brinjikji, Soliman Oushy, Nicholas Borg
article en

Abstract

Cerebrospinal fluid (CSF)-venous fistulas necessitate a comprehensive understanding of spinal venous anatomy for successful embolization.<sup>1</sup> This video details the essential technical and anatomical nuances of CSF-venous fistula embolization at various spinal levels, including the cervical, thoracic, and lumbar spine. Precise microcatheter navigation, guided by a detailed understanding of spinal venous anatomy, is crucial for reaching the fistula site and successful treatment. Embolization typically focuses on the foraminal vein, paraspinal vein, and lateral epidural plexus, aiming to create a comprehensive liquid embolic plug.<sup>2</sup> As experience with this procedure grows, continued refinement of techniques and exploration of optimal access routes will further enhance success rates.

Interventional Neuroradiology
University of Nebraska at Omaha (US), Boston Children's Hospital (US), Harvard University (US), Mayo Clinic in Arizona (US)
Good health and well-being
Openalex Percentile: Top 80%
Vascular Malformations Diagnosis and Treatment
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Transvenous embolization of cerebrospinal fluid-venous fistulas: A comprehensive technical video guide — Waleed Brinjikji, Soliman Oushy, et al. · Interventional Neuroradiology (2024) | TGRS Research Map | TGRS