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Neurosurg Clin N Am. 2014 Jul;25(3):539-49. doi: 10.1016/j.nec.2014.04.010. Epub 2014 Jun 2.

Endovascular management of intracranial dural arteriovenous fistulae.

Author information

1
Arkansas Neuroscience Institute, 5 Saint Vincent Circle, Suite 503, Little Rock, AR 72205, USA.
2
Division of Neurosurgery, Istituto delle Scienze Neurologiche di Bologna, IRCCS Bellaria Hospital, Via Castiglione 29, BO 40124, Italy.
3
Department of Neurologic Surgery, College of Medicine, Mayo Clinic, 200 First Street, Rochester, MN 55905, USA. Electronic address: lanzino.giuseppe@mayo.edu.

Abstract

Endovascular embolization is the primary therapeutic modality for intracranial dural arteriovenous fistulae. Based on access route, endovascular treatment can be schematically divided into transarterial, transvenous, combined, and direct/percutaneous approaches. Choice of access route and technique depends primarily on dural arteriovenous fistulae angioarchitecture, pattern of venous drainage, clinical presentation, and location. Individualized endovascular approaches result in a high degree of cure with a reasonably low complication rate.

KEYWORDS:

Indirect carotido-cavernous fistulae; Intracranial dural arteriovenous fistulae (DAVF); Transarterial embolization; Transvenous embolization; Transverse-sigmoid sinus DAVF

PMID:
24994089
DOI:
10.1016/j.nec.2014.04.010
[Indexed for MEDLINE]

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