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Current status of endovascular treatment for dural arteriovenous fistulae in the tentorial middle region: a literature review

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Abstract

The tentorial middle region (TMR) includes the midline and paramedian tentorium. TMR dural arteriovenous fistulae (DAVFs) are complex. We performed a review of the literature on TMR DAVFs. TMR DAVFs are divided into the following four types: incisural DAVF, Galenic DAVF, straight sinus DAVF and torcular DAVF. TMR DAVFs often drain into pial veins; therefore, most TMR DAVFs are classified as Borden II–III and Cognard types IIb–IV, whose characteristics cause TMR DAVFs to be prone to hemorrhage. TMR DAVFs have a very disappointing natural progression, and treatment is necessary. TMR DAVFs have extensive arterial supply and complex venous drainages, making them difficult to treat. Currently, for TMR DAVF, endovascular treatment (EVT) has become a better option. In EVT, transarterial embolization is the first-line treatment. Many complications can occur when treating TMR DAVFs, but complete EVT can generally achieve good clinical outcomes. In this review, three educational cases with demonstrating figures are provided to elaborate TMR DAVFs.

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Acknowledgements

We would like to acknowledge the reviewers for their helpful comments on this paper.

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Authors and Affiliations

  1. Department of Radiology, The First Hospital of Jilin University, Xinmin Street 71#, Changchun, 130021, China

    Dan Tong

  2. Department of Neurosurgery, The First Hospital of Jilin University, Xinmin Street 71#, Changchun, 130021, China

    Xuan Chen, Kailing Li, Kan Xu & Jinlu Yu

  3. Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, Tsinghua University, Litanglu 168#, Beijing, 102218, China

    Xianli Lv

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Tong, D., Chen, X., Lv, X. et al. Current status of endovascular treatment for dural arteriovenous fistulae in the tentorial middle region: a literature review. Acta Neurol Belg 119, 5–14 (2019). https://doi.org/10.1007/s13760-018-1044-3

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