Endovascular Management of Spinal Dural Arteriovenous Fistulas

Nitin Agarwal, David R. Hansberry, Ahmed Meleis, Bryan A. Lieber, Chirag D. Gandhi, Charles J. Prestigiacomo

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

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 resoUSAce imaging as a screening examination, contrast-enhanced magnetic resoUSAce 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.

Original languageEnglish
Pages (from-to)523-526
Number of pages4
JournalJournal of Neurological Surgery, Part A: Central European Neurosurgery
Volume77
Issue number6
DOIs
StatePublished - Nov 1 2016

Keywords

  • endovascular
  • liquid embolization
  • management
  • spinal dural arteriovenous fistula

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