From pial arteriovenous fistula (PAVF) to nidal AVM, same treatment?

Discover the continuation of the LINNC Americas Pediatric Endovascular Masterclass with this complex case of a dural sinus malformation in a 12-week-old infant.

Initially presenting with abnormal eye movements and macrocephaly, the patient progressed to severe hydrocephalus caused by aqueduct compression from a giant dural venous sinus with thrombosis and shunting.

Johanna Fifi details a sophisticated staged intervention: the placement of an external ventricular drain, followed by two endovascular embolization procedures using Onyx liquid embolic and balloon-assisted techniques targeting meningeal feeders.

Watch the full video to analyze the outcomes and the post-treatment venous remodeling.