scholarly journals Endovascular and Surgical Treatment of Spinal Dural Arteriovenous Fistulas: Assessment of Post-treatment Clinical Outcome

2016 ◽  
Vol 56 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Panagiotis ZOGOPOULOS ◽  
Hajime NAKAMURA ◽  
Tomohiko OZAKI ◽  
Katsunori ASAI ◽  
Hiroyuki IMA ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Clinical Outcome ◽  
Post Treatment ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
Spinal Dural Arteriovenous Fistulas

scholarly journals Endovascular and surgical treatment of spinal dural arteriovenous fistulas

2008 ◽  
Vol 50 (10) ◽  
pp. 869-876 ◽  
Author(s):  
Robert H. Andres ◽  
Alain Barth ◽  
Raphael Guzman ◽  
Luca Remonda ◽  
Marwan El-Koussy ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
Spinal Dural Arteriovenous Fistulas

scholarly journals Endovascular management of spinal dural arteriovenous fistulas

2009 ◽  
Vol 26 (5) ◽  
pp. E15 ◽  
Author(s):  
Walavan Sivakumar ◽  
Gabriel Zada ◽  
Parham Yashar ◽  
Steven L. Giannotta ◽  
George Teitelbaum ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Vascular Malformations ◽  
Endovascular Embolization ◽  
Embolic Agent ◽  
Endovascular Management ◽  
Arteriovenous Fistulas ◽  
Spinal Vascular Malformations ◽  
Embolic Agents ◽  
Dural Arteriovenous Fistulas ◽  
Spinal Dural Arteriovenous Fistulas

Object Spinal dural arteriovenous fistulas (DAVFs) are the most common spinal vascular malformations and can be a significant cause of myelopathy, yet remain inefficiently diagnosed lesions. Over the last several decades, the treatment of spinal DAVFs has improved tremendously due to improvements in neuroimaging, microsurgical, and endovascular techniques. The aim of this paper was to review the existing literature regarding the clinical characteristics, classification, and endovascular management of spinal DAVFs. Methods A search of the PubMed database from the National Library of Medicine and reference lists of all relevant articles was conducted to identify all studies pertaining to spinal DAVFs, spinal dural fistulas, and spinal vascular malformations, with particular attention to endovascular management and outcomes. Results The ability to definitively treat spinal DAVFs using endovascular embolization has significantly improved over the last several decades. Overall rates of definitive embolization of spinal DAVFs have ranged between 25 and 100%, depending in part on the embolic agent used and the use of variable stiffness microcatheters. The majority of recent studies in which N-butyl cyanoacrylate or other liquid embolic agents were used have reported success rates of 70–90%. Surgical treatment remains the definitive option in cases of failed embolization, repeated recanalization, or lesions not amenable to embolization. Clinical outcomes have been comparable to surgical treatment when the fistula and draining vein remain persistently occluded. Improvements in gait and motor function are more likely following successful treatment, whereas micturition symptoms are less likely to improve. Conclusions Endovascular embolization is an increasingly effective therapy in the treatment of spinal DAVFs, and can be used as a definitive intervention in the majority of patients that undergo modern endovascular intervention. A multidisciplinary approach to the treatment of these lesions is required, as surgery is required for refractory cases or those not amenable to embolization. Newer embolic agents, such as Onyx, hold significant promise for future therapy, yet long-term follow-up studies are required.

scholarly journals Combined Endovascular and Surgical Treatment of Type I Spinal Dural Arteriovenous Fistulas

2015 ◽  
Vol 5 (1_suppl) ◽  
pp. s-0035-1554205-s-0035-1554205
Author(s):  
Miroslav Vukic ◽  
David Ozretic ◽  
Marko Rados ◽  
Sergej Marasanov ◽  
Marjan Rozankovic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Type I ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
Spinal Dural Arteriovenous Fistulas

Surgical treatment for spinal dural arteriovenous fistulas: Outcome, complications and prognostic factors

2017 ◽  
Vol 51 (6) ◽  
pp. 446-453 ◽  
Author(s):  
Jakub Wojciechowski ◽  
Przemysław Kunert ◽  
Arkadiusz Nowak ◽  
Tomasz Dziedzic ◽  
Tomasz Czernicki ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Surgical Treatment ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
Spinal Dural Arteriovenous Fistulas

scholarly journals Combined Endovascular and Surgical Treatment of Spinal Dural Arteriovenous Fistulas

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1582760-s-0036-1582760
Author(s):  
Miroslav Vukic ◽  
David Ozretic ◽  
Marko Rados ◽  
Sergej Marasanov ◽  
Marjan Rozankovic
Keyword(s):  
Surgical Treatment ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
Spinal Dural Arteriovenous Fistulas

scholarly journals Overview of the current role of endovascular and surgical treatment in spinal dural arteriovenous fistulas

2009 ◽  
Vol 26 (1) ◽  
pp. E8 ◽  
Author(s):  
Amir R. Dehdashti ◽  
Leodante B. Da Costa ◽  
Karel G. terBrugge ◽  
Robert A. Willinsky ◽  
Michael Tymianski ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Vascular Malformations ◽  
Endovascular Embolization ◽  
Vascular Lesions ◽  
Current Role ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
Complete Obliteration ◽  
Spinal Dural Arteriovenous Fistulas

Dural arteriovenous fistulas are the most common vascular malformations of the spinal cord. These benign vascular lesions are considered straightforward targets of surgical treatment and possibly endovascular embolization, but the outcome in these cases depends mainly on the extent of clinical dysfunction at the time of the diagnosis. A timely diagnosis is an equally important factor, with early treatment regardless of the type more likely to yield significant improvements in neurological functioning. The outcomes after surgical and endovascular treatment are similar if complete obliteration of the fistulous site is obtained. In the present study, the authors evaluated the current role of each modality in the management of these interesting lesions.

Clinical Outcome of Treatments for Spinal Dural Arteriovenous Fistulas

Spine ◽  
2012 ◽  
Vol 37 (6) ◽  
pp. 482-488 ◽  
Author(s):  
Norimitsu Wakao ◽  
Shiro Imagama ◽  
Zenya Ito ◽  
Kei Ando ◽  
Kenichi Hirano ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
Spinal Dural Arteriovenous Fistulas
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