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Follow how Dr. Jigar Aiya treated a multi-pocket intraosseous DAVF embolisation in a 14-year-old child.
O/E: Left eye vision – 6/6, restricted lateral movement
15 days after the onset of symptoms
Wire reached but microcatheter navigation failed
1st arterial feeder from MMA (Sonic + Hybrid)
Poor penetration (Squid 12)
2nd arterial feeder from MMA
The microcatheter could be navigated after the Apollo buddy wire
Obliteration of DAVF from ECA
Re-attempt with Headway Duo
Is it in the same venus pouch?
Microcatheter in another venus pouch
Multiple coils embolised but still a filling of the venus pouch.
Plan for glue embolisation
Post 25 % glue embolisation
The redness of the eye disappeared on the second day.
At one-month follow-up
At three-month follow-up
