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Dural AVF and Treatment

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Neurovascular Imaging

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Abstract

Intracranial arteriovenous dural shunts (ICADS) account for 10–15 % of all intracranial vascular malformations.

The natural history of ICADS is based on the venous drainage and the presence or absence of leptomeningeal venous reflux.

CT and MR can provide useful informations for diagnosis, but DSA is mandatory to analyze the lesion and to understand the venous drainage of the shunt and of the brain.

ICADS are dynamic lesions, i.e., a benign fistula can turn into a malignant ICADS with time, but may also regress spontaneously.

The spontaneous morbi-mortality of the disease dramatically increases in case of leptomeningeal venous reflux and require thus a curative treatment.

Endovascular approach is nowadays the first intention treatment, either transarterially or transvenously. This should be proposed in case of malignant ICADS and benign ICADS with intolerable symptoms.

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References

  1. Berenstein A, Lasjaunias P, TerBrugge K (2004) Dural arteriovenous shunts. Therapeutic aspects. In: Surgical neuroangiography. Springer, Berlin, p 2.2:605

    Chapter  Google Scholar 

  2. Van Rooij WJ, Sluzewski M, Beute GN (2007) Dural arteriovenous fistulas with cortical venous drainage: incidence, clinical presentation, and treatment. AJNR Am J Neuroradiol 28(4):651–655

    PubMed  Google Scholar 

  3. Davies MA, TerBrugge K, Willinsky R, Coyne T, Saleh J, Wallace MC (1996) The validity of classification for the clinical presentation of intracranial dural arteriovenous fistulas. J Neurosurg 85(5):830–837

    Article  CAS  PubMed  Google Scholar 

  4. Satomi J, van Dijk JMC, Terbrugge KG, Willinsky RA, Wallace MC (2002) Benign cranial dural arteriovenous fistulas: outcome of conservative management based on the natural history of the lesion. J Neurosurg 97(4):767–770

    Article  PubMed  Google Scholar 

  5. Berenstein A, Lasjaunias P, TerBrugge K (1987) Dural arteriovenous shunts. In: Surgical neuroangiography. Springer, Berlin, pp 389–451

    Google Scholar 

  6. Kraus JA, Stüper BK, Nahser HC, Klockgether T, Berlit P (2000) Significantly increased prevalence of factor V Leiden in patients with dural arteriovenous fistulas. J Neurol 247(7):521–523

    Article  CAS  PubMed  Google Scholar 

  7. Miyachi S, Izumi T, Matsubara N, Naito T, Haraguchi K, Wakabayashi T (2011) Mechanism of the formation of dural arteriovenous fistula: the role of the emissary vein. Interv Neuroradiol J Peritherapeutic Neuroradiol Surg Proced Relat Neurosci 17(2):195–202

    Google Scholar 

  8. Borden JA, Wu JK, Shucart WA (1995) A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg 82(2):166–179

    Article  CAS  PubMed  Google Scholar 

  9. Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A et al (1995) Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194(3):671–680

    Article  CAS  PubMed  Google Scholar 

  10. Davies MA, Saleh J, Ter Brugge K, Willinsky R, Wallace MC (1997) The natural history and management of intracranial dural arteriovenous fistulae. Part 1: benign lesions. Interv Neuroradiol J Peritherapeutic Neuroradiol Surg Proced Relat Neurosci 3(4):295–302

    CAS  Google Scholar 

  11. Davies MA, Ter Brugge K, Willinsky R, Wallace MC (1997) The natural history and management of intracranial dural arteriovenous fistulae. Part 2: aggressive lesions. Interv Neuroradiol J Peritherapeutic Neuroradiol Surg Proced Relat Neurosci 3(4):303–311

    CAS  Google Scholar 

  12. Geibprasert S, Pereira V, Krings T, Jiarakongmun P, Toulgoat F, Pongpech S et al (2008) Dural arteriovenous shunts: a new classification of craniospinal epidural venous anatomical bases and clinical correlations. Stroke J Cereb Circ 39(10):2783–2794

    Article  Google Scholar 

  13. Van Dijk JMC, terBrugge KG, Willinsky RA, Wallace MC (2002) Clinical course of cranial dural arteriovenous fistulas with long-term persistent cortical venous reflux. Stroke J Cereb Circ 33(5):1233–1236

    Article  Google Scholar 

  14. Söderman M, Pavic L, Edner G, Holmin S, Andersson T (2008) Natural history of dural arteriovenous shunts. Stroke J Cereb Circ 39(6):1735–1739

    Article  Google Scholar 

  15. Duffau H, Lopes M, Janosevic V, Sichez JP, Faillot T, Capelle L et al (1999) Early rebleeding from intracranial dural arteriovenous fistulas: report of 20 cases and review of the literature. J Neurosurg 90(1):78–84

    Article  CAS  PubMed  Google Scholar 

  16. Mossa-Basha M, Chen J, Gandhi D (2012) Imaging of cerebral arteriovenous malformations and dural arteriovenous fistulas. Neurosurg Clin N Am 23(1):27–42

    Article  PubMed  Google Scholar 

  17. Roy D, Raymond J (1997) The role of transvenous embolization in the treatment of intracranial dural arteriovenous fistulas. Neurosurgery 40(6):1133–1141

    Article  CAS  PubMed  Google Scholar 

  18. Luo C-B, Chang F-C, Wu H-M, Chung W-Y (2007) Transcranial embolization of a transverse-sigmoid sinus dural arteriovenous fistula carried out through a decompressive craniectomy. Acta Neurochir (Wien) 149(2):197–200

    Article  Google Scholar 

  19. Mironov A (1998) Selective transvenous embolization of dural fistulas without occlusion of the dural sinus. AJNR Am J Neuroradiol 19(2):389–391

    CAS  PubMed  Google Scholar 

  20. Nelson PK, Russell SM, Woo HH, Alastra AJG, Vidovich DV (2003) Use of a wedged microcatheter for curative transarterial embolization of complex intracranial dural arteriovenous fistulas: indications, endovascular technique, and outcome in 21 patients. J Neurosurg 98(3):498–506

    Article  PubMed  Google Scholar 

  21. Guedin P, Gaillard S, Boulin A, Condette-Auliac S, Bourdain F, Guieu S et al (2010) Therapeutic management of intracranial dural arteriovenous shunts with leptomeningeal venous drainage: report of 53 consecutive patients with emphasis on transarterial embolization with acrylic glue. J Neurosurg 112(3):603–610

    Article  PubMed  Google Scholar 

  22. Cognard C, Januel AC, Silva NA, Tall P (2008) Endovascular treatment of intracranial dural arteriovenous fistulas with cortical venous drainage: new management using Onyx. AJNR Am J Neuroradiol 29(2):235–241

    Article  CAS  PubMed  Google Scholar 

  23. Da Costa LB, Terbrugge K, Farb R, Wallace MC (2007) Surgical disconnection of cortical venous reflux as a treatment for Borden type II dural arteriovenous fistulae. Acta Neurochir (Wien) 149(11):1103–1108

    Article  Google Scholar 

  24. Koebbe CJ, Singhal D, Sheehan J, Flickinger JC, Horowitz M, Kondziolka D et al (2005) Radiosurgery for dural arteriovenous fistulas. Surg Neurol 64(5):392–398 (discussion 398–399)

    Article  PubMed  Google Scholar 

  25. Söderman M, Edner G, Ericson K, Karlsson B, Rähn T, Ulfarsson E et al (2006) Gamma knife surgery for dural arteriovenous shunts: 25 years of experience. J Neurosurg 104(6):867–875

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Diagnostic and Therapeutic Neuroradiology, Hôpital Foch, Suresnes, France

    Pierre Guedin

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  1. Pierre Guedin
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Correspondence to Pierre Guedin .

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Editors and Affiliations

  1. Department of Radiology, AOU of Cagliari, Monserrato, Cagliari, Italy

    Luca Saba

  2. Neurointerventional Radiology Section, Department of Radiology, NYU Langone Medical Center, New York, NY, USA

    Eytan Raz

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Guedin, P. (2016). Dural AVF and Treatment. In: Saba, L., Raz, E. (eds) Neurovascular Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9029-6_43

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  • DOI: https://doi.org/10.1007/978-1-4614-9029-6_43

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-9028-9

  • Online ISBN: 978-1-4614-9029-6

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