Treatment of Ethmoidal Dural Arteriovenous Fistulas: A Meta-analysis Comparing Endovascular versus Surgical Treatment

Giannopoulos, Stefanos; Texakalidis, Pavlos; Alkhataybeh, Redab; Charisis, Nektarios; Rangel-Castilla, Leonardo; Jabbour, Pascal; Grossberg, Jonathan A; Machinis, Theofilos

doi:10.1016/j.wneu.2019.04.227

Cited by 41 publications

(42 citation statements)

References 41 publications

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“…In few locations, such as anterior cranial fossa and ethmoidal dAVF, surgery is thought to be more successful than endovascular approaches 65. However, surgery is usually reserved for cases in which endovascular approaches have failed to completely cure the lesion 66.…”

Section: Surgerymentioning

confidence: 99%

Updates in the management of cranial dural arteriovenous fistula

Ooi²,

et al. 2019

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Dural arteriovenous fistula (dAVF) accounts for approximately 10% of all intracranial vascular malformations. While they can be benign lesions, the presence of retrograde venous drainage and cortical venous reflux makes the natural course of these lesions aggressive high risk of haemorrhage, neurological injury and mortality. Endovascular treatment is often the first line of treatment for dAVF. Both transarterial and transvenous approaches are used to cure dAVF. The selection of treatment approach depends on the angioarchitecture of the dAVF, the location, the direction of venous flow. Surgery and, to a lesser extent, stereotactic radiosurgery are used when endovascular approaches are impossible or unsuccessful.

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Section: Surgerymentioning

confidence: 99%

Updates in the management of cranial dural arteriovenous fistula

Ooi²,

et al. 2019

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“…Along with the visual complication, the other common complication is recanalization of the fistula. 9 In this case, there was a significantly large-sized hematoma that needed to be evacuated surgically and hence he was taken up for surgery. Surgery seems to have a better outcome for managing these types of cases though technically challenging, in terms of protecting the vision, and preventing future recanalization.…”

Section: Introductionmentioning

confidence: 93%

“…Surgery seems to have a better outcome for managing these types of cases though technically challenging, in terms of protecting the vision, and preventing future recanalization. 9 Multimodality approach has also been described in the literature where embolization is usually combined with the surgical approach. Stereotactic radiosurgery is also used in the When a fistula presents with intracerebral hemorrhage, there is usually a clear plain on the posterior aspect of the fistula and so the surgical dissection is usually tangentially along the lateral walls and much of the care is taken to dissect along the anterior cranial fossa as the feeding artery emerges from the tough dura of the anterior cranial fossa.…”

Section: Introductionmentioning

confidence: 99%

Ethmoidal dural Arteriovenous Fistula- A case report

Nepal¹,

Karki²,

Thapa³

2020

J. Brain Spine Fdn Nep.

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Ethmoidal dural arteriovenous fistulas (dAVF) are a rare type of dAVF present in the anterior cranial fossa. There are usually fed by the ethmoidal artery and drains into superior sagittal sinus. Due to its high flow nature, they are considered a challenging case for surgery and usually present with frontal lobe hematoma or seizure. Here, is a similar case report of a 52-year-old gentleman who presented with sequel of frontal lobe hematoma and was managed surgically with clipping of feeder and excision of fistula.

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“…Las FAVD etmoidales, también llamadas de piso anterior o de placa cribiforme, son infrecuentes y representan 6-10% de las FAVD 2,3 . Se presentan predominantemente en mayores de 50 años, con mayor frecuencia en hombres y tienen un comportamiento más agresivo, siendo la hemorragia (intraparenquimatosa, subdural o subaracnoidea) la mani-festación clínica más frecuente que varía entre 38,1% y 91% en las diferentes series 4 . La presentación hemorrágica más frecuentes es la hemorragia intracerebral, describiéndose con frecuencia la presencia de hematomas intracerebrales frontales con efecto de masa 1 .…”

Section: Introductionunclassified

Fístula dural arteriovenosa etmoidal: caso clínico

2021

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Introducción: Las fístulas durales arterio venosas (FAVd) etmoidales son infrecuentes, representan 6-10% de las FAVd y se caracterizan un alto riesgo de hemorragia con potenciales complicaciones neurológicas severas. Caso clínico: Paciente hombre, de 58 años, encontrado en domicilio con compromiso de conciencia. El estudio con TC de encéfalo muestra un extenso hematoma intracerebral frontal izquierdo con efecto de masa, en el estudio con angioTC de encéfalo se observa FAVd etmoidal. Se realiza cirugía de urgencia, evacuación de hematoma y desconexión de la FAVd. La angiografía cerebral de control postoperatorio no mostró fístula residual. Discusión: Las FAVd de piso anterior presentan un alto riesgo de hemorragia, dado el patrón de drenaje venoso, por lo cual se debe considerar el tratamiento. Dada la angioarquitectura de este tipo de FAVd son poco favorables para tratamiento endovascular, siendo la cirugía el tratamiento de elección.

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Treatment of Ethmoidal Dural Arteriovenous Fistulas: A Meta-analysis Comparing Endovascular versus Surgical Treatment

Cited by 41 publications

References 41 publications

Updates in the management of cranial dural arteriovenous fistula

Updates in the management of cranial dural arteriovenous fistula

Ethmoidal dural Arteriovenous Fistula- A case report

Fístula dural arteriovenosa etmoidal: caso clínico

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