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J Neurol Surg A Cent Eur Neurosurg 2016; 77(06): 523-526
DOI: 10.1055/s-0035-1570002
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Endovascular Management of Spinal Dural Arteriovenous Fistulas

Nitin Agarwal
1   Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
2   Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, United States
,
David R. Hansberry
3   Department of Radiology, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, United States
,
Ahmed Meleis
2   Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, United States
,
Bryan A. Lieber
4   Department of Neurological Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
,
Chirag D. Gandhi
2   Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, United States
3   Department of Radiology, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, United States
,
Charles J. Prestigiacomo
2   Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, United States
5   Department of Radiology, Rutgers New Jersey Medical School, Newark, New Jersey, United States
6   Department of Neurology and Neuroscience, Rutgers New Jersey Medical School, Newark, New Jersey, United States
› Author Affiliations
Further Information

Publication History

02 May 2015

30 September 2015

Publication Date:
25 January 2016 (online)

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Abstract

Spinal vascular malformations, although rare, cause devastating disease. These malformations are commonly categorized as follows: spinal arteriovenous malformations (AVMs), dural arteriovenous fistulas (DAVFs), spinal hemangiomas, cavernous angiomas, and aneurysms. Spinal DAVFs (SDAVFs), or type 1 spinal AVMs, occur most frequently, representing ∼ 60 to 80% of vascular malformations of the spinal cord. While previously microsurgical treatment was considered the gold standard in the treatment of SDAVFs, recent advancements in technology—advancements of magnetic resonance imaging as a screening examination, contrast-enhanced magnetic resonance angiography, multidetector computed tomography as preangiographic evaluations, digital subtraction angiography, diagnostic catheters, and embolization materials—have made endovascular treatment a possible option. We review the treatment of SDAVFs, primarily discussing the endovascular management of these lesions.

Keywords

spinal dural arteriovenous fistula - endovascular - liquid embolization - management
 

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