2021年12月22日 星期三

20211222 DAVF + sinus stenosis

  • DAVF + sinus stenosis  
    • Artery Neuron070 + Marathon + Onyx (DMSO 0.3ml0
    • Vein 6 Fr. shuttle + SL10
    • Heparin 3500, 500/ hr.
    • Neuron070 in ECA, then Marathon put into MMA
    • Shuttle in IJV, SL10 to sigmoid sinus
    • Fistula point embolization with 10 microcoils
    • MMA embolization with Onyx, avoid Vein of Labbe and cortical vein, when reflux to cortical vein, wait for 3 minutes (keep hand positive pressure)
    • Each time before injection, re-do double road map
    • Remove catheter like fishing (釣魚,負壓扯兩次,第三次拉掉導管)