Title
Endovascular treatment of anterior cranial fossa dural arteriovenous fistula: a multicenter series
UMMS Affiliation
Department of Radiology
Publication Date
2020-08-25
Document Type
Article
Disciplines
Cardiovascular Diseases | Neurology | Neurosurgery | Radiology
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.
Keywords
Anterior cranial fossa, Dural arteriovenous fistula, Embolization, Endovascular, Ethmoidal, Transarterial, Transvenous
DOI of Published Version
10.1007/s00234-020-02536-3
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
Journal/Book/Conference Title
Neuroradiology
Related Resources
PubMed ID
32840681
Repository Citation
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 VM, Ortega-Gutierrez S, Samaniego EA, McDermott MW. (2020). Endovascular treatment of anterior cranial fossa dural arteriovenous fistula: a multicenter series. Radiology Publications. https://doi.org/10.1007/s00234-020-02536-3. Retrieved from https://escholarship.umassmed.edu/radiology_pubs/565