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    Endovascular treatment of anterior cranial fossa dural arteriovenous fistula: a multicenter series

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    Authors
    Dabus, Guilherme
    Kan, Peter
    Diaz, Carlos
    Pabon, Boris
    Andres-Mejia, Juan
    Linfante, Italo
    Grossberg, Jonathan A.
    Howard, Brian M.
    Islak, Civan
    Kocer, Naci
    Kizilkilic, Osman
    Puri, Ajit S.
    Kuhn, Anna L.
    Moholkar, Viraj M.
    Ortega-Gutierrez, Santiago
    Samaniego, Edgar A.
    McDermott, Michael W.
    Show allShow less
    UMass Chan Affiliations
    Department of Radiology
    Document Type
    Journal Article
    Publication Date
    2020-08-25
    Keywords
    Anterior cranial fossa
    Dural arteriovenous fistula
    Embolization
    Endovascular
    Ethmoidal
    Transarterial
    Transvenous
    Cardiovascular Diseases
    Neurology
    Neurosurgery
    Radiology
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    Metadata
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    Link to Full Text
    https://doi.org/10.1007/s00234-020-02536-3
    Abstract
    PURPOSE: We report a multicenter experience using endovascular embolization as the first line approach for treatment of anterior cranial fossa (ACF) dural arteriovenous fistula (DAVF). METHODS: All patients with DAVFs located in the anterior cranial fossa who were treated with endovascular technique as a first line approach were included. Demographics, clinical presentation, angioarchitecture, strategy, complications, immediate angiographic, and follow-up results were included in the analysis. RESULTS: Twenty-three patients met the inclusion criteria (18 male and 5 female). Age ranged from 14 to 79 years (mean 53 years). Twelve patients presented with hemorrhage. Twenty-eight endovascular procedures were performed. The overall immediate angiographic cure rate after endovascular treatment was 82.6% (19/23 patients). The angiographic cure rate of the transvenous strategy was significantly superior to the transarterial strategy (p < /= 0.001). There was 1 complication in 28 total procedures (3.6%). Angiographic follow-up was available in 21 out of the 23 patients with a mean of 25 months (range 2 to 108 months). In these 21 patients, the DAVF was completely cured in 20 (95%). At last follow-up, all patients had a modified Rankin scale (mRS) 0 to 2. CONCLUSION: Our experience suggests that endovascular treatment for ACF DAVFs has an acceptable safety profile with high rates of complete occlusion, particularly with transvenous approach. Whenever possible, transvenous approach should be preferred over transarterial approach as first line strategy.
    Source

    Dabus G, Kan P, Diaz C, Pabon B, Andres-Mejia J, Linfante I, Grossberg JA, Howard BM, Islak C, Kocer N, Kizilkilic O, Puri AS, Kuhn AL, Moholkar V, Ortega-Gutierrez S, Samaniego EA, McDermott MW. Endovascular treatment of anterior cranial fossa dural arteriovenous fistula: a multicenter series. Neuroradiology. 2020 Aug 25. doi: 10.1007/s00234-020-02536-3. Epub ahead of print. PMID: 32840681. Link to article on publisher's site

    DOI
    10.1007/s00234-020-02536-3
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/48460
    PubMed ID
    32840681
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1007/s00234-020-02536-3
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