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Bendok, Bernard R. et al.: 2025 Hemorrhagic and Ischemic Stroke DOI: 10.1055/b-0044-205928
Section III Open Surgical, Minimally Invasive and Microsurgical Approaches

27 Surgery for Intracranial Dural Arteriovenous Fistulas

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Editors: Bendok, Bernard R.; Batjer, H. Hunt

Authors: Abi-Aad, Karl; Abuelem, Tarek; Açiş, Onur; Agnoletto, Guilherme J.; El Ahmadieh, Tarek; Albuquerque, Felipe C.; Amenta, Peter S.; Amoss, James; Aoun, Salah G.; Arthur, Adam S.; Awad, Issam A.; Ban, Vin Shen; Barrow, Daniel L.; Bebawy, John F.; Biller, José; Binning, Mandy J.; Blech, Benzion; Bonney, Phillip A.; Brasiliense, Leonardo B.C.; Carlin, Rachel E.; Carrión-Penagos, Julián; Chong, Brian W.; Christel, Lynda M.; Church, Ephraim W.; Connolly, E. Sander; Connor, Michelle; Dalfino, John C.; Demaerschalk, Bart M.; Dumitrascu, Oana M.; Entezami, Pouya; Felbaum, Daniel; Freeman, W. David; Garcia, Jose Omar; Goyal, Nitin; Granja, Manuel F.; Hanel, Ricardo A.; Heiferman, Daniel M.; Hemphill, J. Claude; Hess, Ryan; Howard, Brian M.; Hudson, Miles; Ingall, Timothy J.; Inoa, Violiza; Jabbour, Pascal M.; Jacob, Sneha; Johnson, Mark D.; Kalen, Brian; Kicielinski, Kimberly P.; Koester, Stefan W.; Koht, Antoun; Kondziolka, Douglas; Krishna, Chandan; Kronenburg, Annick; Kumar, Gyanendra; Langer, David; Levy, Elad I.; Mack, William J.; Merrill, Sarah; Meyer, Fredric B.; Monteiro, André; Montaño, Arturo; El Naamani, Kareem; Nossek, Erez; O’Carroll, Cumara B.; Ogilvy, Christopher S.; Ogunsola, Oludotun; Ottenhoff, Lauren; Oushy, Soliman; Patel, Bhavesh; Patra, Devi P.; Peacock, Sarah; Pena, Austin; Pines, Andrew; Polster, Sean P.; Rahme, Rudy J.; Rebeiz, Tania; Riina, Howard; Rinaldo, Lorenzo; Sattur, Mithun G.; Sen, Ayan; Siegel, Jason; Sim, Justin L.; Simon, Scott D.; Solomon, Robert A.; Spetzler, Robert; Sweid, Ahmad; Syal, Arjun; Tomlinson, Amanda; Turcotte, Evelyn L.; Turkmani, Ali H.; Vakharia, Kunal; Vanderhye, Vanesa K.; Veznedaroglu, Erol; Walia, Parampreet Singh; Waqas, Muhammad; Welch, Babu G.; Welz, Matthew E.; White, Jonathan A.; Winter, JoDee; Zaatar, Muriel T.; Zeeni, Carine

Title: Hemorrhagic and Ischemic Stroke

Subtitle: Medical, Imaging, Surgical, and Interventional Approaches

Print ISBN: 9781684200436; Online ISBN: 9781684203819; Book DOI: 10.1055/b000000291

2. Edition © 2025. Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York

Subjects: Neurosurgery

Thieme Clinical Collections (English Language)



 
Brian M. Howard and Daniel L. Barrow

Abstract

Dural arteriovenous fistulas (dAVFs) are rare lesions in which dural arteries and a dural venous sinus or cortical vein are abnormally connected. Numerous grading scales for dAVF exist, but the most concerning pathological feature of these lesions is cortical venous reflux as abnormal leptomeningeal venous drainage dramatically increases the risk of intracranial hemorrhage. Most dAVFs are treated endovascularly in the modern era, but a role for surgery still exists, particularly for lesions of the anterior skull base, or those who have been previously treated and no viable endovascular access remains. The goal of treatment, whether endovascular or surgical, is to disconnect the draining vein(s) from the point of the fistula.

Key words

arteriovenous fistula - microsurgery - subarachnoid hemorrhage - intraparenchymal hemorrhage
 
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