Endovascular Treatment of Anterior Cranial Fossa Dural Arteriovenous Fistula

Overview

Journal Neuroradiology

Specialties Neurology
Radiology

Date 2008 Feb 22

PMID 18288476

Citations 10

Authors

Xianli Lv

Youxiang Li

Zhongxue Wu

Affiliations

Soon will be listed here.

Abstract

We describe the technique and results of the endovascular treatment of anterior cranial fossa dural arteriovenous fistulas (DAVF) in four symptomatic patients. Catheterization was via the superior sagittal sinus in two patients and via the ophthalmic artery in two patients. Embolization was performed using detachable platinum coils in the former two patients and a liquid embolic system (Onyx-18, MTI) in the latter. We were able to reach the fistula site and to embolize the arteriovenous shunting zone in all of the patients. The final angiogram showed complete occlusion of the DAVFs, and all patients recovered completely. No complications related to either approach were observed. Endovascular treatment of anterior cranial fossa DAVFs is feasible by either transvenous or transarterial access.

Citing Articles

Transnasal flow reduction in endovascular treatment for anterior cranial fossa dural arteriovenous fistula.

Kawabata S, Nakamura H, Nishida T, Takagaki M, Izutsu N, Takenaka T J Surg Case Rep. 2020; 2020(10):rjaa327.

PMID: 33123340 PMC: 7573859. DOI: 10.1093/jscr/rjaa327.

A Case Series of Ethmoidal Dural Arteriovenous Fistulas Treated by Endovascular Embolization with Onyx.

Ha H, Duc N, Christine J, Christophe C Med Arch. 2020; 74(2):139-141.

PMID: 32577057 PMC: 7296419. DOI: 10.5455/medarh.2020.74.139-141.

Sphenoid dural arteriovenous fistulas.

Ghali M Neurosurg Rev. 2019; 44(1):77-96.

PMID: 31811518 DOI: 10.1007/s10143-019-01209-x.

Current status of endovascular treatment for dural arteriovenous fistulae in the anterior cranial fossa: A systematic literature review.

Xu K, Ji T, Li C, Yu J Int J Med Sci. 2019; 16(2):203-211.

PMID: 30745800 PMC: 6367520. DOI: 10.7150/ijms.29637.

The use of Onyx in different types of intracranial dural arteriovenous fistula.

Abud T, Nguyen A, Saint-Maurice J, Abud D, Bresson D, Chiumarulo L AJNR Am J Neuroradiol. 2011; 32(11):2185-91.

PMID: 21960490 PMC: 7964404. DOI: 10.3174/ajnr.A2702.

References

Lawton M, Chun J, Wilson C, Halbach V . Ethmoidal dural arteriovenous fistulae: an assessment of surgical and endovascular management. Neurosurgery. 1999; 45(4):805-10; discussion 810-1. DOI: 10.1097/00006123-199910000-00014. View

Komotar R, Connolly Jr E, Lignelli A, Mack W, Mocco J, Harbaugh R . Clinicoradiological review: bilateral ethmoidal artery dural arteriovenous fistulas. Neurosurgery. 2007; 60(1):131-5. DOI: 10.1227/01.NEU.0000249196.53656.53. View

Reul J, Thron A, Laborde G, Bruckmann H . Dural arteriovenous malformations at the base of the anterior cranial fossa: report of nine cases. Neuroradiology. 1993; 35(5):388-93. DOI: 10.1007/BF00588378. View

Abrahams J, Bagley L, Flamm E, Hurst R, Sinson G . Alternative management considerations for ethmoidal dural arteriovenous fistulas. Surg Neurol. 2003; 58(6):410-6; discussion 416. DOI: 10.1016/s0090-3019(02)00871-6. View

Mayfrank L, Reul J, Huffmann B, Bertalanffy H, Spetzger U, Gilsbach J . Microsurgical interhemispheric approach to dural arteriovenous fistulas of the floor of the anterior cranial fossa. Minim Invasive Neurosurg. 1996; 39(3):74-7. DOI: 10.1055/s-2008-1052221. View

Lefkowitz M, Giannotta S, Hieshima G, Higashida R, Halbach V, Dowd C . Embolization of neurosurgical lesions involving the ophthalmic artery. Neurosurgery. 1998; 43(6):1298-303. DOI: 10.1097/00006123-199812000-00016. View

White D, Sincoff E, Abdulrauf S . Anterior ethmoidal artery: microsurgical anatomy and technical considerations. Neurosurgery. 2005; 56(2 Suppl):406-10. DOI: 10.1227/01.neu.0000156550.83880.d0. View

Cognard C, Gobin Y, Pierot L, Bailly A, Houdart E, Casasco A . Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology. 1995; 194(3):671-80. DOI: 10.1148/radiology.194.3.7862961. View

Deshmukh V, Chang S, Albuquerque F, McDougall C, Spetzler R . Bilateral ethmoidal dural arteriovenous fistulae: a previously unreported entity: case report. Neurosurgery. 2006; 57(4):E809. DOI: 10.1093/neurosurgery/57.4.e809. View

10.

Halbach V, Higashida R, Hieshima G, Wilson C, Barnwell S, Dowd C . Dural arteriovenous fistulas supplied by ethmoidal arteries. Neurosurgery. 1990; 26(5):816-23. DOI: 10.1097/00006123-199005000-00014. View

11.

Moore C, Murphy K, Gailloud P . Improved distal distribution of n-butyl cyanoacrylate glue by simultaneous injection of dextrose 5% through the guiding catheter: technical note. Neuroradiology. 2006; 48(5):327-32. DOI: 10.1007/s00234-006-0059-2. View

12.

Defreyne L, Vanlangenhove P, Vandekerckhove T, Deschrijver I, Sieben G, Klaes R . Transvenous embolization of a dural arteriovenous fistula of the anterior cranial fossa: preliminary results. AJNR Am J Neuroradiol. 2000; 21(4):761-5. PMC: 7976623. View