دورية أكاديمية

An Intraoperative Look at a Residual/Recurrent Tentorial Dural Arteriovenous Fistula

التفاصيل البيبلوغرافية
العنوان: An Intraoperative Look at a Residual/Recurrent Tentorial Dural Arteriovenous Fistula
المؤلفون: Gross, Bradley A, Ducruet, Andrew F, Jankowitz, Brian T, Gardner, Paul A
المصدر: Translational Neuroscience
بيانات النشر: Barrow - St. Joseph's Scholarly Commons
سنة النشر: 2017
مصطلحات موضوعية: Arteriovenous fistula, Dural arteriovenous fistula, Embolization, Recurrence, Surgery, Adult, Central Nervous System Vascular Malformations (diagnostic imaging, surgery), Female, Humans, Monitoring, Intraoperative (methods), Spinal Cord (diagnostic imaging
الوصف: BACKGROUND: Dural arteriovenous fistulas (dAVFs) often are treated via transarterial or transvenous embolization. Incomplete penetration of the draining vein/occult residual often will become apparent on follow-up angiography, requiring repeat embolization, or at times, surgical resection. CASE DESCRIPTION: A 41-year-old woman presented with cerebellar hemorrhage from a tentorial dAVF treated with transvenous coil embolization. Follow-up angiography disclosed a residual/recurrent fistula treated with transvenous Onyx embolization. After further follow-up angiography demonstrated another occult residual/recurrence, the fistula was disconnected with the tentorial dura excised via a retrosigmoid approach. Six-month follow-up angiography demonstrated no recurrence. CONCLUSIONS: Although endovascular treatment of dAVFs is generally first-line therapy, surgical disconnection of fistulas, particularly high-risk residual/recurrent fistulas, is an excellent option in well-selected cases.
نوع الوثيقة: text
اللغة: unknown
العلاقة: https://scholar.barrowneuro.org/neurobiology/2060Test
الإتاحة: https://scholar.barrowneuro.org/neurobiology/2060Test
رقم الانضمام: edsbas.AA3BEA1A
قاعدة البيانات: BASE