Neurointervention (Mar 2023)
Direct Puncture of the Superficial Temporal Artery in Embolization of a Scalp Arteriovenous Fistula: A Case Report
- Gregory B. Walker,
- Alick P. Wang,
- Jeremiah Hadwen,
- Undrakh-Erdene Erdenebold,
- Razmik Bebedjian,
- Patrick Sullivan,
- Marlise P. Santos,
- Chad Chenier,
- Stephen Karwaski,
- Katie Caron,
- Gabriella Varga,
- Jennifer Lyon,
- Howard J. Lesiuk,
- Navraj Heran,
- Manraj Heran,
- Aiman Quateen,
- Brian J. Drake,
- Eduardo Portela De Oliveira,
- Mario Kontolemos,
- Robert Fahed
Affiliations
- Gregory B. Walker
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Alick P. Wang
- Division of Neurosurgery, Department of Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Jeremiah Hadwen
- Division of Neurology, Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Undrakh-Erdene Erdenebold
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Razmik Bebedjian
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Patrick Sullivan
- Department of Anesthesiology, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Marlise P. Santos
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Chad Chenier
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Stephen Karwaski
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Katie Caron
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Gabriella Varga
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Jennifer Lyon
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Howard J. Lesiuk
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Navraj Heran
- Division of Neurosurgery, Department of Surgery, Royal Columbian Hospital, University of British Columbia, New Westminster, BC, Canada
- Manraj Heran
- Division of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada
- Aiman Quateen
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Brian J. Drake
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Eduardo Portela De Oliveira
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Mario Kontolemos
- Division of Radiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- Robert Fahed
- Division of Interventional Neuroradiology, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
- DOI
- https://doi.org/10.5469/neuroint.2022.00465
- Journal volume & issue
-
Vol. 18,
no. 1
pp. 67 – 71
Abstract
We describe a minimally invasive endovascular approach to treat an arteriovenous fistula of the scalp. We performed a direct puncture of the lesion through the patient’s scalp for liquid embolic agent injection along with external compression of the superficial temporal artery to perform a “manual pressure-cooker technique.” The combination of these minimally invasive techniques resulted in an excellent clinical and radiographic outcome.
Keywords
