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DOI: 10.4103/0971-3026.45344
Intracranial dural arteriovenous fistulas: A Review
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Abstract
Dural arteriovenous fistulas are fistulas connecting the branches of dural arteries to dural veins or a venous sinus. Digital subtraction angiography remains the gold standard for diagnosing these fistulas. Endovascular treatment is one of the first line options available for their management. This review article reviews the etiopathogenesis, natural history, common classification systems and various available treatment options.
Publication History
Article published online:
31 July 2021
© 2009. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Halbach VV, Higashida RT, Hieshima GB, Mehninger CM, Hardin CW. Transvenous embolization of dural fistulas involving the transverse and sigmoid sinuses. AJNR Am J Neuroradiol 1989;10:385-92
- 2 Newton TH, Cronqvist S. Involvement of dural arteries in intracranial arteriovenous malformations. Radiology 1969;93:1071-8.
- 3 Luciani A, Houdart E, Mounayer C, Saint Maurice JP, Merland JJ. Spontaneous closure of dural arteriovenous fistulas: Report of three cases and review of the literature. AJNR Am J Neuroradiol 2001;22:992-6.
- 4 Borden JA, Wu JK, Shucart WA. A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg 1995;82:166-79.
- 5 Lasjaunias P, Berenstein A. Surgical neuroangiography. Dural arteriovenous shunts. Vol 2.2. Germany: Springer-Verlag; 2004. p. 565-607.
- 6 Lasjaunias P, Chiu M, TerBrugge K, Tolia A, Hurth M, Bernstein M. Neurological manifestations of intracranial dural arteriovenous malformations. J Neurosurg 1986;64:724-30.
- 7 Kwon BJ, Han MH, Kang HS, Chang KH. MR imaging features of intracranial dural arteriovenous fistulas: Relations with venous drainage patterns. AJNR Am J Neuroradiol 2005;26:2500-7.
- 8 Houser O, Campbell J, Campbell R. Sundt I. Arteriovenous malformation affecting the transverse dural venous sinus: An acquired lesion. Mayo Clin Proc 1979;54:651-61.
- 9 Fox AJ, Pelz DM, Drake CG. Unusual clinical manifestations of dural arteriovenous malformations. J Neurosurg 1986;64:554-8.
- 10 Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, et al . Cerebral dural arteriovenous fistulas: Clinical and angiographic correlation with a revised classification of venous drainage. Radiology 1995;194:671-80.
- 11 Iwama T, Hashimoto N, Takagi Y, Tanaka M, Yamamoto S, Nishi S, et al . Haemodynamic and metabolic disturbances in patients with intracranial dural arteriovenous fistulas: Positron emission tomography evaluation before and after treatment. J Neurosurg 1997;86:806-11.
- 12 Awad IA, Little RJ, Akarawi WP, Ahl J. Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg 1990;72:839-50.
- 13 Satomi J, van Dijk JM, Terbrugge K, Willinsky RA, Wallace MC. Benign cranial dural arteriovenous fistulas: Outcome of conservative management based on the natural history of the lesion. J Neurosurg 2002;97:767-70.
- 14 Djindjian R, Merland JJ. Superselective angiography of external carotid artery. New York: Springer-Verlag; 1977. p. 606-28.
- 15 Cognard C, Casaco A, Toevi M, Houdart Chiras J, Merland JJ. Dural arteriovenous fistulas as a cause of intracranial hypertension due to impairment of cranial venous outflow. J Neurol Neurosurg Psychiatry 1998;65:308-16.
- 16 Alatakis S, Koulouris G, Stuckey S. CT-Demonstrated transcalvarial channels diagnostic of dural arteriovenous fistula. AJNR Am J Neuroradiol 2005;26:2393-6.
- 17 Ito J, Imamura H, Kobayashi K, Tsuchida T, Sato S. Dural arteriovenous malformations of the base of the anterior cranial fossa. Neuroradiology 1983;24:149-54.
- 18 Barrow DL, Spector RH, Braun IF, Landman JA, Tindall SC, Tindall GT. Classification and treatment of spontaneous carotid cavernous sinus fistulas. J Neurosurg 1985;62:248-56.
- 19 Kawaguchi S, Sakaki T, Morimoto T, Hoshida T, Nakase H. Surgery for dural arteriovenous fistula in superior sagittal sinus and transverse sinus. J Clin Neurosci 2000;7:47-9.
- 20 Tomak PR, Cloft HJ, Kaga A, Cawley CM, Dion J, Barrow DL. Evolution of the management of tentorial dural arteriovenous malformations. Neurosurgery 2003;52:750-62.
- 21 Troffkin NA, Graham CB 3rd, Berkmen T, Wakhloo AK. Combined transvenous and transarterial embolization of a tentorial-incisural dural arteriovenous malformation followed by primary stent placement in the associated stenotic straight sinus: Case report. J Neurosurg 2003;99:579-83.
- 22 Quinones D, Duckwiler G, Gobin PY, Goldberg RA, Viρuela F. Embolization of dural cavernous fistulas via superior ophthalmic vein approach. AJNR Am J Neuroradiol 1997;18:921-8.
- 23 Suzuki S, Lee DW, Jahan R, Duckwiler GR, Viρuela F. Vinuela technical note transvenous treatment of spontaneous dural carotid-cavernous fistulas using a combination of detachable coils and onyx. AJNR Am J Neuroradiol 2006;27:1346-9.
- 24 Murphy KJ, Gailloud P, Venbrux A, Deramond H, Hanley D, Rigamonti D. Endovascular treatment of grade IV transverse sinus dural arteriovenous fistula by sinus recanalization, angioplasty, and stent placement: Technical case report. Neurosurgery 2000;46:497-501.
- 25 O′Leary S, Hodgson TJ, Coley SC, Kemeny AA, Radatz MW. Intracranial dural arteriovenous malformations: Results of stereotactic radiosurgery in 17 patients. Clin Oncol (R Coll Radiol) 2002;14:97-102.
- 26 Guo WY, Pan DH, Wu HM, Chung WY, Shiau CY, Wang LW, et al . Radiosurgery as a treatment alternative for dural arteriovenous fistulas of the cavernous sinus. AJNR Am J Neuroradiol 1998;19:1081-7.
- 27 Bertalanffy A, Dietrich W, Kitz K, Bavinzski G. Treatment of dural arteriovenous fistulae (dAVF′s) at the superior sagittal sinus (SSS) using embolisation combined with micro- or radiosurgery. Minim Invasive Neurosurg 2001;44:205-10.
- 28 Lewis AI, Tomsick TA, Tew JM Jr. Management of tentorial dural arteriovenous malformations: Transarterial embolization combined with stereotactic radiation or surgery. J Neurosurg 1994;81:851-9.
- 29 Lawton MT, Chun J, Wilson CB, Halbach VV. Ethmoidal dural arteriovenous fistulae: An assessment of surgical and endovascular management. Neurosurgery 1999;45:805-11.
- 30 Friedman JA, Pollock BE, Nichols DA, Gorman DA, Foote RL, Stafford SL. Results of combined stereotactic radiosurgery and transarterial embolization for dural arteriovenous fistulas of the transverse and sigmoid sinuses. J Neurosurg 2001;94:886-91.