Intraoperative Angiography for Cranial Dural Arteriovenous Fistula

Pandey, Paritosh; Westbroek, Erick M.; Dodd, Robert; M., Huy; Marks, Michael P.

doi:10.3174/ajnr.a2443

Cited by 16 publications

(4 citation statements)

References 41 publications

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“…The patient had complications of permanent trigeminal (cranial nerve V) and facial nerve (cranial nerve VII) deficits. Pandey et al 15 also reported complete fistula disconnection in 2 patients with middle fossa DAVFs in a series of 31 lesions in 29 patients, 1 with surgery alone and 1 with surgery followed by endovascular embolization and a second surgery. Gross and Du 17 reported only 1 surgical case of sphenoid ridge DAVF in a series of 70 lesions in 56 patients.…”

Section: Resultsmentioning

confidence: 92%

“…Since the original description of sphenoparietal sinus DAVFs, 7 experience with these rare lesions has been limited and modern surgical series have been sparse (Table 2). [12][13][14][15][16][17][18][19] Kakarla et al 13 reported on 53 patients with DAVFs treated surgically, including 3 sphenoparietal sinus lesions. Similarly, they achieved a high surgical cure rate and excellent clinical outcomes for patients with SWR DAVFs.…”

Section: Similar Davfs Reported In the Literaturementioning

confidence: 99%

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Sphenoparietal Sinus Dural Arteriovenous Fistulas: A Series of 10 Patients

Hartke

Srinivasan

Rahmani

et al. 2022

Operative Neurosurgery

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BACKGROUND:Dural arteriovenous fistulas (DAVFs) of the sphenoparietal sinus or sphenoid wing region are uncommon lesions with unique and interesting angioarchitecture. Understanding appropriate anatomy and recognizing patterns provide important treatment implications.OBJECTIVE:To describe a single surgeon's experience with open surgical treatment of sphenoparietal sinus DAVFs, the surgical indications for this uncommon lesion, and the microsurgical techniques related to its treatment and to review the literature on its surgical treatment.METHODS:Consecutive cases of sphenoparietal sinus DAVF treatment conducted by a single surgeon over 24 years (1997-2020) were retrospectively reviewed. Published reports of similar cases were reviewed.RESULTS:Of 202 surgically treated DAVFs, 10 lesions in 10 patients were sphenoparietal sinus DAVFs. Four patients presented with intracranial hemorrhage, 3 with headache, and 2 with pulsatile tinnitus; 1 patient was incidentally identified as having a DAVF during treatment for a ruptured aneurysm. Most patients (7 of 10) had undergone endovascular embolization previously. Nine patients had Borden type III DAVFs and one had a Borden type II fistula. Surgery in all 10 patients resulted in angiographically confirmed fistula obliteration. Clinical outcomes at the last follow-up, measured by a modified Rankin Scale (mRS) score, were excellent in 6 patients (mRS ≤ 2) and poor in 1 patient (mRS ≥ 3); late outcomes were not available for 3 patients.CONCLUSION:Sphenoparietal sinus DAVFs are an uncommon anatomic subtype. Careful attention to angiographic detail leads to identification of the site of venous interruption and results in a high rate of surgical cure with excellent clinical outcomes.

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Section: Resultsmentioning

confidence: 92%

Section: Similar Davfs Reported In the Literaturementioning

confidence: 99%

Sphenoparietal Sinus Dural Arteriovenous Fistulas: A Series of 10 Patients

Hartke

Srinivasan

Rahmani

et al. 2022

Operative Neurosurgery

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“…We consider that intraoperative DSA in the hybrid OR can compensate for these points. [ 15 ] Newer robotic C-arms can facilitate better image guidance during surgery, as they provide a larger field of view and more working space as well as a longer radius of gyration. The latter further, helps avoid collision of equipment and patients and enables the easier setting of the surgery.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of procedures combining endovascular embolization with a direct surgical approach in a hybrid operating room for the treatment of refractory dural arteriovenous fistulas

Kato

Ishibashi

Maruyama

et al. 2021

Surgical Neurology International

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Background: We reviewed the clinical outcomes of a procedure that combines endovascular embolization and a direct surgical approach in a hybrid operating room (OR) for the treatment of refractory dural arteriovenous fistulas (dAVFs). Methods: All patients with intracranial dAVFs who underwent a procedure combining endovascular embolization and direct surgical approach with biplane angiography or a robotic C-arm system in a hybrid OR between February 2004 and June 2020 were considered. Borden grading, occlusion rate, pre-and post-operative modified Rankin Scale (mRS) scores, and complications were retrospectively investigated. The pre-and postoperative mRS scores were compared using the Wilcoxon signed-ranks test. Results: We evaluated 14 arteriovenous fistulas (AVFs) in consecutive 13 patients. Of these, ten AVFs were previously treated with endovascular embolization, ten were located in the transverse-sigmoid sinus, and four in the cortical vein. The Borden grade was II in two AVFs and III in 12 AVFs. Immediate occlusion of the AVF was achieved in 13 AVFs, and gradual occlusion was observed in one case. The median preoperative mRS was 1 (0–3), whereas the median postoperative mRS was 0 (0–1) which indicated marked improvement (P = 0.006). Complications including postoperative transient visual disturbance and intraprocedural extravasation were observed in only two cases. Conclusion: The combination of endovascular embolization and direct surgical approach in a hybrid OR could achieve sufficient occlusion of refractory AVFs with acceptable complication rates and improved symptoms.

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“…Çàñòîñîâóþòü ðåòðî´ðàäíó åìáîë³çàö³þ ÄÀÂÍ, ùî ïîêàçóº âèùó ³ìîâ³ðí³ñòü çàêðèòòÿ ô³ñòóë, ïðîòå ³ñíóº ðèçèê åìáîë³¿ ëåãåíåâî¿ àðòåð³¿ åìáîë³çóþ÷èì ìà-òåð³àëîì [1,8]. Õ³ðóð´³÷íå ë³êóâàííÿ ÄÀÂÍ äîñèòü óñï³øíå, âêëþ÷àº â ñåáå ð³çí³ ìåòîäèêèïåðåðèâ àðòåð³é, äèñêîíåêö³ÿ âåí ì'ÿêî¿ îáîëîíêè ãîëîâíîãî ìîçêó, ñêåëåòîí³çàö³ÿ ñèíóñà àáî éîãî ðåçåêö³ÿ òà ïàê³íã ãåìîñòàòè÷íèìè çàñîáàìè [5,10,12]. Âèá³ð ì³ae åíäîâàñêóëÿðíèì ³ õ³-ðóð´³÷íèì âòðó÷àííÿì ïîâèíåí âðàõóâàòè àíà-òîì³þ àðòåð³é, ê³ëüê³ñòü ãîäóþ÷èõ ñóäèí, òèï âåíîçíîãî â³äòîêó, ìîaeëèâ³ñòü ³ áåçïå÷í³ñòü äîñòóïó [3,8,12].…”

Section: ðåçóëüòàòè é îáãîâîðåííÿunclassified

Atransverse-sigmoid dural arteriovenous fistula

Kobza¹,

Trutiak²,

Petrov³

2018

AML

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Ðåôåðàò Ìåòà. Ïîêðàùèòè ä³à´íîñòèêó ³ ë³êóâàííÿ äóðàëüíèõ àð-òåð³îâåíîçíèõ íîðèöü. Ìàòåð³àë ³ ìåòîäè. Îïèñàí³ ðåçóëüòàòè îáñòåaeåííÿ òà ë³êóâàííÿ àðòåð³îâåíîçíî¿ íîðèö³ â ïàçóõó òâåðäî¿ îáîëîíêè ãîëîâíîãî ìîçêó ó 65-ð³÷íî¿ õâîðî¿. Ðåçóëüòàòè é îáãîâîðåííÿ. AE³íêà â³êîì 65 ðîê³â çâåðíóëàñü ç³ ñêàðãàìè íà ïîñò³éíèé øóì ó ë³âîìó âóñ³, ãîëî-âîêðóae³ííÿ, ãîëîâí³ áîë³. Ñêàðãè òðèâàëè ïðîòÿãîì ðîêó. ²ç àíàìíåçó â³äîìî, ùî ø³ñòü ðîê³â òîìó ïàö³ºíòêà ïåðåíåñåëà ãí³éíèé îòèò. Ï³ä ÷àñ äîïëåðî´ðàô³¿ íà ð³âí³ ë³âî¿ çàãàëüíî¿ ñîííî¿ àðòåð³¿ âèÿâëåíèé ñèñòîëîä³àñòî-ë³÷íèé ñêèä êðîâ³. ÌÐÒ-àíã³î´ðàô³÷íå îáñòåaeåííÿ â³çóà-ë³çóâàëî ðåêàíàë³çîâàíèé òðîìáîç ñèãìîâèäíîãî ñèíóñà òà àðòåð³îâåíîçíó íîðèöþ ³ç ïîòèëè÷íî¿ àðòåð³¿ äî ïî-ïåðå÷íî¿ ïàçóõè òâåðäî¿ îáîëîíêè ãîëîâíîãî ìîçêó. Íîðèöÿ óñóíóòà øëÿõîì ïåðåâ'ÿçêè çîâí³øíüî¿ ñîííî¿ àð-òåð³¿ òà ¿¿ äèñòàëüíèõ ã³ëîê. Âèñíîâîê. Ñèìïòîìàòè÷íà àðòåð³îâåíîçíà íîðèöÿ â ñè-íóñ³ òâåðäî¿ îáîëîíêè ãîëîâíîãî ìîçêó ìîaeå áóòè óñ-ï³øíî óñóíóòà øëÿõîì ïåðåâ'ÿçêè ãîäóþ÷èõ àðòåð³é ó àíàòîì³÷íî ñïðèÿòëèâèõ âèïàäêàõ. Êëþ÷îâ³ ñëîâà: äóðàëüíà àðòåð³îâåíîçíà íîðèöÿ, ÌÐÒ àíã³î´ðàô³ÿ, çîâí³øíÿ ñîííà àðòåð³ÿ Abstract ATRANSVERSE-SIGMOID DURAL ARTERIOVENOUS FISTULA Aim. To improve the diagnostics and treatment of dural arteriovenous fistulae. Material and Methods. The results of investigation and treatment of a dural arteriovenous fistula in a 65-year-old woman are described. Results and Discussions. A 65-year-old woman was admitted with complaints of a continuous ear murmur, dizziness, and headaches. The complaints lasted for one year. From her medical history it was known that she suffered from purulent otitis six years before. A systole-diastolic blood shunt was revealed at the level of her external carotid artery at the Doppler investigation. The MRI detected a recanalized sigmoid dural sinus and a fistula from the occipital artery to the transverse sinus. The fistula was eliminated by ligation of the external carotid artery and its branches. Conclusions. Symptomatic cranial dural arteriovenous

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Intraoperative Angiography for Cranial Dural Arteriovenous Fistula

Abstract: BACKGROUND AND PURPOSE:IA is a valuable adjunct during surgery for a variety of neurovascular diseases; however, there are no reported series describing IA for DAVFs. This study was undertaken to evaluate the safety and efficacy of IA for DAVFs.

Cited by 16 publications

References 41 publications

Sphenoparietal Sinus Dural Arteriovenous Fistulas: A Series of 10 Patients

Sphenoparietal Sinus Dural Arteriovenous Fistulas: A Series of 10 Patients

Clinical outcomes of procedures combining endovascular embolization with a direct surgical approach in a hybrid operating room for the treatment of refractory dural arteriovenous fistulas

Atransverse-sigmoid dural arteriovenous fistula

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