Retrograde leptomeningeal venous approach for dural arteriovenous fistulas at foramen magnum

Mendes, George A C; Caire, François; Saleme, Suzana; Ponomarjova, Sanita; Mounayer, Charbel

doi:10.1177/1591019915582942

Cited by 8 publications

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When TVE is performed in an ACF DAVF, after the microcatheter tip is positioned in the fistula point, arteriography of the OA and superselective venography of the microcatheter are necessary to confirm the placement of the microcatheter tip 11, 31. When performing TVE, Onyx is a good choice because it can penetrate the fistula through the cribriform plate and can pass retrogradely into the tiny transosseous arterial feeders 59. In the 48 cases we considered, we found that Onyx has become popular in EVT for ACF DAVFs since 2005.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

Int. J. Med. Sci.

View full text Add to dashboard Cite

Anterior cranial fossa (ACF) dural arteriovenous fistulae (DAVFs) are rare, and a systematic review of the literature is lacking. Such a review is necessary, however, so a systematic PubMed search of related studies was performed. Twenty-four studies were identified, reporting on 48 patients, of whom 39 had definite age and sex information and 33 (84.6%, 33/39) were male. The afflicted patients were between 37 and 80 years old (mean 55.6). Among the 48 patients, 28 (58.3%, 28/48) primarily presented with intracranial hemorrhage, 47 (97.9%, 47/48) had feeding arteries from the anterior ethmoidal artery (AEA) of the ophthalmic artery (OA), and 40 (83.3%, 40/48) had bilateral feeding arteries. All of the cases had high-grade Cognard classifications (III-IV). Among the 48 patients, 43 (89.6%, 43/48) had drainage into the superior sagittal sinus (SSS). In addition, 36 (75%, 36/48) patients were treated via transarterial embolization (TAE). Of these patients, 28 (77.8%, 28/36) were managed via the AEA of the OA. Another 12 (25%, 12/48) patients were treated via transvenous embolization (TVE), 11 of whom (91.7%, 11/12) were treated with the trans-SSS approach. Complete angiographic cure was achieved in 44 (91.7%, 44/48) patients, with 4 (8.3%, 4/48) patients suffering from postprocedural complications. All 48 patients had clear descriptions of follow-up outcomes, with 45 (93.8%, 45/48) patients having a good outcome. Thus, when treating ACF DAVFs, endovascular treatment (EVT) can completely obliterate the fistula point and correct the venous shunting. EVT is therefore an effective treatment for ACF DAVF. Although many complications can occur, this approach achieves good outcomes in most cases.

show abstract

Section: Discussionmentioning

confidence: 99%