Anterior Interhemispheric Approach for Anterior Fossa Dural Arteriovenous Fistulas

Overview

Journal Neurosurg Rev

Specialty Neurosurgery

Date 2021 Oct 7

PMID 34618251

Authors

Etienne Lefevre

Stephanie Lenck

Soledad Navarro

Stephane Clemenceau

Anne-Laure Boch

Sophie Dupont

Vincent Degos

Frederic Clarencon

Michel Kalamarides

Alexandre Carpentier

Aurelien Nouet

Affiliations

Soon will be listed here.

Abstract

Anterior fossa dural arteriovenous fistulas (AF-DAVF) usually display a cortical venous drainage and are therefore at risk for rupture. Microsurgery is traditionally considered in many centers as the first-line treatment since endovascular treatment (EVT) entails a lower cure rate and significant ophthalmic risks. The anterior interhemispheric approach (AIA), originally described by Mayfrank in 1996, seems to offer the effectiveness of microsurgery while limiting the risks related to subfrontal craniotomy. The objective of this study was to analyze the surgical outcomes of patients who underwent this surgical approach for the treatment of AF-DAVF. We hereby describe our 10 years' experience of patients treated for an AF-DAVF with this technique in our institution and retrospectively analyzed our results. In addition, we describe our operative technique and its specificities. Eleven patients with AF-DAVF were included in our study. The definitive cure of the fistula was confirmed in all cases with postoperative cerebral angiography. All patients had a good neurological outcome and no major complication occurred. Brain retractors were never used during surgery, the frontal sinus was never opened neither, and anosmia was never observed after surgery. Anterior interhemispheric approach seems to be safe and effective to treat AF-DAVF with lower risks than other surgical approaches. This technique could be more widely considered when facing such midline vascular lesion.

References

Agid R, Terbrugge K, Rodesch G, Andersson T, Soderman M . Management strategies for anterior cranial fossa (ethmoidal) dural arteriovenous fistulas with an emphasis on endovascular treatment. J Neurosurg. 2008; 110(1):79-84. DOI: 10.3171/2008.6.17601. View

Awad I, Little J, Akarawi W, Ahl J . Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg. 1990; 72(6):839-50. DOI: 10.3171/jns.1990.72.6.0839. View

Belykh E, Yagmurlu K, Lei T, Safavi-Abbasi S, Oppenlander M, Martirosyan N . Quantitative anatomical comparison of the ipsilateral and contralateral interhemispheric transcallosal approaches to the lateral ventricle. J Neurosurg. 2017; 128(5):1492-1502. DOI: 10.3171/2017.1.JNS161338. View

Cannizzaro D, Peschillo S, Cenzato M, Pero G, Resta M, Guidetti G . Endovascular and surgical approaches of ethmoidal dural fistulas: a multicenter experience and a literature review. Neurosurg Rev. 2016; 41(2):391-398. DOI: 10.1007/s10143-016-0764-1. 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

Curey S, Derrey S, Hannequin P, Hannequin D, Freger P, Muraine M . Validation of the superior interhemispheric approach for tuberculum sellae meningioma: clinical article. J Neurosurg. 2012; 117(6):1013-21. DOI: 10.3171/2012.9.JNS12167. 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

Ding D, Starke R, Crowley R, Liu K . Interhemispheric approach for endoscopic ligation of an anterior cranial fossa dural arteriovenous fistula. J Clin Neurosci. 2015; 22(12):1969-72. DOI: 10.1016/j.jocn.2015.06.003. View

Giannopoulos S, Texakalidis P, Mohammad Alkhataybeh R, Charisis N, Rangel-Castilla L, Jabbour P . Treatment of Ethmoidal Dural Arteriovenous Fistulas: A Meta-analysis Comparing Endovascular versus Surgical Treatment. World Neurosurg. 2019; 128:593-599.e1. DOI: 10.1016/j.wneu.2019.04.227. View

10.

Gross B, Albuquerque F, Moon K, McDougall C . Evolution of treatment and a detailed analysis of occlusion, recurrence, and clinical outcomes in an endovascular library of 260 dural arteriovenous fistulas. J Neurosurg. 2016; 126(6):1884-1893. DOI: 10.3171/2016.5.JNS16331. View

11.

Hannequin P, Paviot A, Chaussy O, Gilard V, Cebula H, Marie J . Olfaction preservation after removal of large tuberculum sellae meningiomas via a superior interhemispheric approach. A quantitative and qualitative study. Neurochirurgie. 2015; 61(5):318-23. DOI: 10.1016/j.neuchi.2015.06.002. View

12.

Lawton M, Golfinos J, Spetzler R . The contralateral transcallosal approach: experience with 32 patients. Neurosurgery. 1996; 39(4):729-34; discussion 734-5. DOI: 10.1097/00006123-199610000-00016. View

13.

Li C, Wu Z, Yang X, Li Y, Jiang C, He H . Transarterial treatment with Onyx of Cognard type IV anterior cranial fossa dural arteriovenous fistulas. J Neurointerv Surg. 2013; 6(2):115-20. DOI: 10.1136/neurintsurg-2012-010641. View

14.

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

15.

Mielke D, Mayfrank L, Nikos Psychogios M, Rohde V . The anterior interhemispheric approach: a safe and effective approach to anterior skull base lesions. Acta Neurochir (Wien). 2014; 156(4):689-96. DOI: 10.1007/s00701-013-1972-x. View

16.

Randell T, Niemela M, Kytta J, Tanskanen P, Maattanen M, Karatas A . Principles of neuroanesthesia in aneurysmal subarachnoid hemorrhage: The Helsinki experience. Surg Neurol. 2006; 66(4):382-8. DOI: 10.1016/j.surneu.2006.04.014. View

17.

Spetzler R, Sanai N . The quiet revolution: retractorless surgery for complex vascular and skull base lesions. J Neurosurg. 2011; 116(2):291-300. DOI: 10.3171/2011.8.JNS101896. View

18.

Spiotta A, Hawk H, Kellogg R, Turner R, Chaudry M, Turk A . Transfemoral venous approach for Onyx embolization of anterior fossa dural arteriovenous fistulae. J Neurointerv Surg. 2013; 6(3):195-9. DOI: 10.1136/neurintsurg-2012-010642. View

19.

Sugiyama T, Nakayama N, Ushikoshi S, Kazumata K, Okamoto M, Ito M . Complication rate, cure rate, and long-term outcomes of microsurgery for intracranial dural arteriovenous fistulae: a multicenter series and systematic review. Neurosurg Rev. 2020; 44(1):435-450. DOI: 10.1007/s10143-019-01232-y. View

20.

Terasaka S, Asaoka K, Kobayashi H, Yamaguchi S . Anterior interhemispheric approach for tuberculum sellae meningioma. Neurosurgery. 2011; 68(1 Suppl Operative):84-8. DOI: 10.1227/NEU.0b013e31820781e1. View