Journal article
Endovascular treatment of anterior cranial fossa dural arteriovenous fistula: a multicenter series
Neuroradiology, Vol.63(2), pp.259-266
02/2021
DOI: 10.1007/s00234-020-02536-3
PMID: 32840681
Abstract
We report a multicenter experience using endovascular embolization as the first line approach for treatment of anterior cranial fossa (ACF) dural arteriovenous fistula (DAVF).
All patients with DAVFs located in the anterior cranial fossa who were treated with endovascular technique as a first line approach were included. Demographics, clinical presentation, angioarchitecture, strategy, complications, immediate angiographic, and follow-up results were included in the analysis.
Twenty-three patients met the inclusion criteria (18 male and 5 female). Age ranged from 14 to 79 years (mean 53 years). Twelve patients presented with hemorrhage. Twenty-eight endovascular procedures were performed. The overall immediate angiographic cure rate after endovascular treatment was 82.6% (19/23 patients). The angiographic cure rate of the transvenous strategy was significantly superior to the transarterial strategy (p ≤ 0.001). There was 1 complication in 28 total procedures (3.6%). Angiographic follow-up was available in 21 out of the 23 patients with a mean of 25 months (range 2 to 108 months). In these 21 patients, the DAVF was completely cured in 20 (95%). At last follow-up, all patients had a modified Rankin scale (mRS) 0 to 2.
Our experience suggests that endovascular treatment for ACF DAVFs has an acceptable safety profile with high rates of complete occlusion, particularly with transvenous approach. Whenever possible, transvenous approach should be preferred over transarterial approach as first line strategy.
Details
- Title: Subtitle
- Endovascular treatment of anterior cranial fossa dural arteriovenous fistula: a multicenter series
- Creators
- Guilherme Dabus - Miami Cardiac & Vascular Institute, 8900 N. Kendall Drive, Miami, FL, 33176, USA. guilhermed@baptisthealth.netPeter Kan - Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USACarlos Diaz - Interventional Neuroradiology at Incare, Universidad de Antioquia, Medellin, ColombiaBoris Pabon - Interventional Neuroradiology at Angioteam, Medellin, ColombiaJuan Andres-Mejia - Interventional Neuroradiology at Angioteam, Medellin, ColombiaItalo Linfante - Division of Interventional Neuroradiology/NeuroEndovascular Surgery, Miami Neuroscience Institute - Baptist Hospital, Miami, FL, USAJonathan A Grossberg - Department of Neurosurgery, Emory University, Atlanta, GA, USABrian M Howard - Department of Neurosurgery, Emory University, Atlanta, GA, USACivan Islak - Department of Neuroradiology, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, TurkeyNaci Kocer - Department of Neuroradiology, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, TurkeyOsman Kizilkilic - Department of Neuroradiology, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, TurkeyAjit S Puri - Department of Radiology, University of Massachusetts, Worcester, MA, USAAnna L Kuhn - Department of Radiology, University of Massachusetts, Worcester, MA, USAViraj Moholkar - Department of Radiology, University of Massachusetts, Worcester, MA, USASantiago Ortega-Gutierrez - Department of Neurology and Radiology, University of Iowa, Iowa City, IA, USAEdgar A Samaniego - Department of Neurology and Radiology, University of Iowa, Iowa City, IA, USAMichael W McDermott - Division of Interventional Neuroradiology/NeuroEndovascular Surgery, Miami Neuroscience Institute - Baptist Hospital, Miami, FL, USA
- Resource Type
- Journal article
- Publication Details
- Neuroradiology, Vol.63(2), pp.259-266
- Publisher
- Germany
- DOI
- 10.1007/s00234-020-02536-3
- PMID
- 32840681
- ISSN
- 0028-3940
- eISSN
- 1432-1920
- Language
- English
- Date published
- 02/2021
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984070597002771
Metrics
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