Treatment of Durai Arteriovenous Fistulae

  • V. Van Halbach
  • R. T. Higashida
  • G. B. Hieshima
Conference paper


Durai arteriovenous fistulae (DAVF) account for 10%–15% of all intracranial arteriovenous malformations. Signs and symptoms can vary from a pulse synchronous tinnitus, bruit, headache, papilledema, hemorrhage, proptosis, visual decline, altered mental status, to transient or permanent neurological deficit. Except for bruit and tinnitus, these signs and symptoms are related to the venous drainage. Over the past 6 years, we have treated 79 patients with durai arteriovenous malformations (DAVMs): forty involved the region of the transverse and sigmoid sinus, 32 involved the region of the cavernous sinus, and seven involved the superior sagittal sinus. Each location presents with different signs and symptoms and requires various treatment modalities.


Superior Sagittal Sinus Sigmoid Sinus Dural Arteriovenous Fistula Occipital Artery Compression Therapy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Berenstein A, Kricheff II, Ransohoff J (1980) Carotid cavernous fistulas: Intraarterial treatment. AJNR 1:449–457Google Scholar
  2. 2.
    Debrun GM, Lacour P, Caron JP, Hurth M, Comoy J, Keravel Y (1978) Detachable balloon techniques in treatment of cerebral vascular lesions. J Neurosurg 49:635–649PubMedCrossRefGoogle Scholar
  3. 3.
    Debrun GM (1983) Treatment of traumatic carotid-cavernous fistula using detachable balloon catheters. AJNR 4:355–356PubMedGoogle Scholar
  4. 4.
    Hieshima GB, Grinnell VS, Mehringer CM (1981) A detachable balloon for therapeutic transcatheter occlusions. Radiology 138:227–228PubMedGoogle Scholar
  5. 5.
    Higashida RT, Hieshima GB, Halbach VV, Goto KG (in press) Closure of Carotid Cavemus Sinus Fistulae by Extend compression of the carotid artery and jugular vein. Acta Radiologica Supp 369:580-583Google Scholar
  6. 6.
    Norman D, Newton TH, Edwards MS, DeCaprio V (1983) Carotid-cavernous fistula: Closure with detachable silicone balloons. Radiology 149:149–157PubMedGoogle Scholar
  7. 7.
    Sanders MD, Hoyt WF (1969) Hypoxic ocular sequelae of carotid cavernous fistulae. Br J Ophthalmol 53:82–97PubMedCrossRefGoogle Scholar
  8. 8.
    Serbinenko FA (1974) Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41:125–145PubMedCrossRefGoogle Scholar
  9. 9.
    Taki W, Handa H, Yonekawa Y et al. (1981) Detachable balloon catheter systems for embolization for cerebrovascular lesions. Neurol Med Chir (Tokyo) 21:709–719CrossRefGoogle Scholar

Copyright information

© Springer Japan 1988

Authors and Affiliations

  • V. Van Halbach
    • 1
  • R. T. Higashida
    • 1
  • G. B. Hieshima
    • 1
  1. 1.Department of Neurological Surgery and RadiologyU.C.S.F. HospitalsSan FranciscoUSA

Personalised recommendations