Endovascular treatment of anterior cranial fossa dural arteriovenous fistula: a multicenter series

Dabus, Guilherme; Kan, Peter; Díaz, Carlos; Pabón, B; Andres-Mejia, Juan; Linfante, Italo; Grossberg, Jonathan A; Howard, Brian M.; Işlak, Civan; Koçer, Naci; Kızılkılıç, Osman; Puri, Ajit S; Kühn, Anna Luisa; Moholkar, Viraj M; Ortega‐Gutiérrez, Santiago; Samaniego, Edgar A; McDermott, Michael W.

doi:10.1007/s00234-020-02536-3

Cited by 26 publications

(23 citation statements)

References 18 publications

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“…However, increasing use of TVE techniques for lateral and dorsal dAVFs is a notable trend. 4,[6][7][8]…”

Section: Indicationsmentioning

confidence: 99%

“…17 Additionally, the tortuosity and small caliber of the ethmoidal arteries can hinder distal microcatheter access. 6,8 Ethmoid dAVFs are surgically accessible by an anterior cranial fossa approach, and this approach is typically the primary treatment. 3,17,18 However, TVE is increasingly used as an alternative to craniotomy, with recent evidence that TVE has a significantly improved cure rate compared with TAE with low complication rates.…”

Section: Anatomic Locationsmentioning

confidence: 99%

“…3,17,18 However, TVE is increasingly used as an alternative to craniotomy, with recent evidence that TVE has a significantly improved cure rate compared with TAE with low complication rates. 6,8 Other lateral epidural shunts that can be approached with TVE include falcotentorial dAVFs, which are often supplied by small-caliber arterial feeders from the ICA (meningohypophyseal trunk branches) and posterior circulation (posterior meningeal artery, artery of Davidoff and Schechter), which make TAE approaches more difficult. 5,7 However, because these dAVFs predominantly drain into the vein of Galen, detailed angiographic assessment is required to ensure that the deep cerebral structures are not still dependent on the vein of Galen for venous outflow.…”

Section: Anatomic Locationsmentioning

confidence: 99%

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Endovascular Management of Intracranial Dural AVFs: Transvenous Approach

Bhatia

Lee

Kortman

et al. 2021

AJNR Am J Neuroradiol

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In this third review article on the endovascular management of intracranial dural AVFs, we discuss transvenous embolization approaches. Transvenous embolization is increasingly popular and now the first-line approach for ventral dural AVFs involving the cavernous sinus and hypoglossal canal. In addition, transvenous embolization is increasingly used in lateral epidural dural AVFs in high-risk locations such as the petrous and ethmoid regions. The advantage of transvenous embolization in these locations is the ability to retrogradely embolize the draining vein and fistula while reducing the risk of ischemic cranial neuropathy or brain parenchymal infarction commonly feared from a transarterial approach. By means of coils 6 ethylene-vinyl alcohol copolymer, transvenous embolization can achieve angiographic cure rates of 80%-90% in ventral locations. Potential complications include transient cranial neuropathy, neurologic deterioration due to venous outflow obstruction, and perforation while navigating pial veins. Transvenous embolization should be considered when dural AVFs arise in proximity to the vasa nervosum or extracranial-intracranial anastomoses.ABBREVIATIONS: CCF ¼ carotid cavernous fistula; dAVF ¼ dural AVF; ECA ¼ external carotid artery; EC-IC ¼ external carotid to internal carotid; EVOH ¼ ethylene-vinyl alcohol copolymer; IPS ¼ inferior petrosal sinus; JR-NET3 ¼ Japanese Registry of Neuro Endovascular Therapy; RPC ¼ reverse pressure cooker; TAE ¼ transarterial embolization; TVE ¼ transvenous embolization

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“…However, increasing use of TVE techniques for lateral and dorsal dAVFs is a notable trend. 4,[6][7][8]…”

Section: Indicationsmentioning

confidence: 99%

Section: Anatomic Locationsmentioning

confidence: 99%

Section: Anatomic Locationsmentioning

confidence: 99%

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Endovascular Management of Intracranial Dural AVFs: Transvenous Approach

Bhatia

Lee

Kortman

et al. 2021

AJNR Am J Neuroradiol

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“…Their symptoms were varied, including headache, seizure, visual impairment, and IC hemorrhage, and sometimes the DAVF was an incidental finding. 5 , 6 Among the articles were four case reports of DAVFs causing epistaxis (1.0%), and these are summarized in Table 1 . 10–13 Although different names were used, including dural arteriovenous malformation in the anterior cranial fossa, cribriform plate DAVF, and ophthalmic frontal DAVF, all 5 patients, including our case, had ethmoidal DAVFs, which were fed by two or more multiple feeding arteries, including the AEA, and drained directly into the frontal cortical vein or veins, eventually flowing through the SSS.…”

Section: Illustrative Casementioning

confidence: 99%

“…This is because its symptoms, as in other DAVFs, can be nonspecific and varying, including headache, seizure, and visual impairment. 5 , 6 In addition, decision-making on the treatment approach for this pathology has not been clearly established. Microsurgical and endovascular (both transarterial and transvenous) accesses have been suggested with their respective pros and cons.…”

mentioning

confidence: 99%

Transarterial embolization through the infraorbital artery of the ethmoidal dural arteriovenous fistula causing recurrent epistaxis: illustrative case

Kwon¹,

Kwon²,

Kim³

et al. 2021

Journal of Neurosurgery: Case Lessons

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BACKGROUND This report describes an ethmoidal dural arteriovenous fistula (DAVF) presenting with the unusual symptom of recurrent epistaxis and successfully treated with selective transarterial embolization through the infraorbital artery (IOA), which is the first time this route was used to the best of the authors’ knowledge, and reviews the literature focusing on the anatomical consideration of ethmoidal DAVFs causing epistaxis and its treatment approaches. OBSERVATIONS A 70-year-old man experienced recurrent intractable epistaxis that bled like a faucet turned on. Cerebral angiography revealed an ethmoidal DAVF supplied by the left anterior ethmoidal artery, both sphenopalatine arteries, both IOAs, and the right angular artery, which drained directly into the frontal cortical veins with a tortuous arterialized ectasia. Microaneurysms around the fistulous location where multiple feeding arteries converge were demonstrated and considered the likely source of the epistaxis. The fistula was completely occluded using transarterial Onyx embolization through the IOA, a branch of the internal maxillary artery. No further epistaxis appeared. LESSONS Although extremely rare, ethmoidal DAVFs should be included in the differential diagnosis of recurrent epistaxis. Ethmoidal DAVFs with bleeding sources in the ethmoid sinus and nasal cavity may cause epistaxis. It is important to properly diagnose and treat ethmoidal DAVFs presenting with epistaxis on the basis of a comprehensive anatomical understanding of extensive extracranial-extracranial and extracranial-intracranial anastomoses.

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