AUTHOR=Yeboah Kevin , Fares Mary-Ann , Hansen Paul , Yoo Albert J. 

TITLE=Case Report: Sequential Transarterial and Trans-Cortical Venous Embolization of a Mixed Pial-Dural AVM

JOURNAL=Frontiers in Neurology

VOLUME=13

YEAR=2022

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2022.839016

DOI=10.3389/fneur.2022.839016

ISSN=1664-2295

ABSTRACT=<p>Endovascular therapy is the primary treatment modality for dural arteriovenous fistulas. Pre-treatment angiographic evaluation of dural fistulas must rule out the presence of a mixed pial component or supply from pial-dural collaterals, as the pial supply must be closed before definitive occlusion of the draining vein to prevent iatrogenic rupture. In this report, we described a case of a mixed pial-dural arterial venous malformation (AVM), which was effectively treated with a sequential transarterial and trans-cortical venous embolization.</p>