The treatment of complex dural arteriovenous fistulae through cranial base techniques
Introduction: The endovascular modality of treatment is the preferred treatment modality for DAVF. In some circumstances, successful obliteration may not be possible by endovascular means, and such cases may require a direct surgical treatment. The authors report on their experience with the use of...
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description | Introduction: The endovascular modality of treatment is the preferred
treatment modality for DAVF. In some circumstances, successful
obliteration may not be possible by endovascular means, and such cases
may require a direct surgical treatment. The authors report on their
experience with the use of cranial base approaches in the treatment of
deep and complex DAVF. Materials and Methods: Nine patients were
treated between 1992 and 2003. There were six females and three males.
Four patients presented with intracerebral hemorrhage, two with
progressive myelopathy, two with tinnitus, and one with incapacitating
chronic seizures. Four DAVF were tentorial, two transverse sigmoid, one
craniocervical, one straight sinus, and one sphenoparietal.
Endovascular embolization was attempted and unsuccessful in four cases,
and was successful only as an adjunct to surgery in four others. All
patients required the use of cranial base approaches to disconnect the
fistula or resect the nidus. Results: Complete obliteration of the
fistula was possible in all cases. Six-month follow-up results were
obtained on seven patients where there was no evidence of recurrence.
One postoperative temporal-lobe hematoma required surgical evacuation.
One patient died two years postoperatively from an unrelated cause.
Conclusion: This retrospective study demonstrates that complex DAVF
can be successfully treated with the assistance of cranial base
techniques. |
format | Article |
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treatment modality for DAVF. In some circumstances, successful
obliteration may not be possible by endovascular means, and such cases
may require a direct surgical treatment. The authors report on their
experience with the use of cranial base approaches in the treatment of
deep and complex DAVF. Materials and Methods: Nine patients were
treated between 1992 and 2003. There were six females and three males.
Four patients presented with intracerebral hemorrhage, two with
progressive myelopathy, two with tinnitus, and one with incapacitating
chronic seizures. Four DAVF were tentorial, two transverse sigmoid, one
craniocervical, one straight sinus, and one sphenoparietal.
Endovascular embolization was attempted and unsuccessful in four cases,
and was successful only as an adjunct to surgery in four others. All
patients required the use of cranial base approaches to disconnect the
fistula or resect the nidus. Results: Complete obliteration of the
fistula was possible in all cases. Six-month follow-up results were
obtained on seven patients where there was no evidence of recurrence.
One postoperative temporal-lobe hematoma required surgical evacuation.
One patient died two years postoperatively from an unrelated cause.
Conclusion: This retrospective study demonstrates that complex DAVF
can be successfully treated with the assistance of cranial base
techniques.</description><identifier>ISSN: 0028-3886</identifier><identifier>EISSN: 1998-4022</identifier><identifier>PMID: 15472420</identifier><language>eng</language><publisher>India: Medknow Publications on behalf of the Neurological Society of India</publisher><subject>Adult ; Aged ; Arteriovenous Fistula - surgery ; Arteriovenous fistula, dural, skull base ; Cerebral Angiography ; Craniotomy ; Diagnosis ; Embolization, Therapeutic ; Female ; Fistula, Arteriovenous ; Humans ; Male ; Middle Aged ; Neurosurgical Procedures ; Radiosurgery ; Retrospective Studies ; Skull base ; Skull Base - surgery ; Treatment Outcome</subject><ispartof>Neurology India, 2004-09, Vol.52 (3), p.325-331</ispartof><rights>Copyright 2004 Neurology India.</rights><rights>COPYRIGHT 2004 Medknow Publications and Media Pvt. Ltd.</rights><rights>Copyright Medknow Publications Jul-Sep 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,79426</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15472420$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kattner KeithA, Roth ToniC, Nardone EmilioM, Giannotta StevenL</creatorcontrib><title>The treatment of complex dural arteriovenous fistulae through cranial base techniques</title><title>Neurology India</title><addtitle>Neurol India</addtitle><description>Introduction: The endovascular modality of treatment is the preferred
treatment modality for DAVF. In some circumstances, successful
obliteration may not be possible by endovascular means, and such cases
may require a direct surgical treatment. The authors report on their
experience with the use of cranial base approaches in the treatment of
deep and complex DAVF. Materials and Methods: Nine patients were
treated between 1992 and 2003. There were six females and three males.
Four patients presented with intracerebral hemorrhage, two with
progressive myelopathy, two with tinnitus, and one with incapacitating
chronic seizures. Four DAVF were tentorial, two transverse sigmoid, one
craniocervical, one straight sinus, and one sphenoparietal.
Endovascular embolization was attempted and unsuccessful in four cases,
and was successful only as an adjunct to surgery in four others. All
patients required the use of cranial base approaches to disconnect the
fistula or resect the nidus. Results: Complete obliteration of the
fistula was possible in all cases. Six-month follow-up results were
obtained on seven patients where there was no evidence of recurrence.
One postoperative temporal-lobe hematoma required surgical evacuation.
One patient died two years postoperatively from an unrelated cause.
Conclusion: This retrospective study demonstrates that complex DAVF
can be successfully treated with the assistance of cranial base
techniques.</description><subject>Adult</subject><subject>Aged</subject><subject>Arteriovenous Fistula - surgery</subject><subject>Arteriovenous fistula, dural, skull base</subject><subject>Cerebral Angiography</subject><subject>Craniotomy</subject><subject>Diagnosis</subject><subject>Embolization, Therapeutic</subject><subject>Female</subject><subject>Fistula, Arteriovenous</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurosurgical Procedures</subject><subject>Radiosurgery</subject><subject>Retrospective Studies</subject><subject>Skull base</subject><subject>Skull Base - surgery</subject><subject>Treatment Outcome</subject><issn>0028-3886</issn><issn>1998-4022</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>RBI</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkU1LxDAQhoso7rr6F6R48FZJM2maHJfFL1jwoueSppNtpE3WtBX998aPVZBlAsO8PDPzMjlI5rmUImOE0sNkTggVGQjBZ8nJMDzHEiCnx8ksL1hJGSXz5OmxxXQMqMYe3Zh6k2rfbzt8S5spqC5VYcRg_Ss6Pw2pscM4dSp2tMFPmzbVQTkbsVoNUUTdOvsy4XCaHBnVDXj2kxfJ08314-ouWz_c3q-W66yGgoyZEIWWNQjOBQpNuKpRsLIG4E3OS8ilKQXohhikRutSMp6rBqDWWjMiDMAiufyeuw3-c-9Y9XbQ2HXKYfRbcS4LXjAZwYt_4LOfgoveKgpcAghZRCj7hjaqw8o648eg9AYdxkt4h8ZGeZlTxmUpv_irPXyMBnur9zac_7iY6h6bahtsr8J7tfuOv4m19Z11-EvoYFW1E52Nj7CcSPgAMOqYEg</recordid><startdate>20040901</startdate><enddate>20040901</enddate><creator>Kattner KeithA, Roth ToniC, Nardone EmilioM, Giannotta StevenL</creator><general>Medknow Publications on behalf of the Neurological Society of India</general><general>Medknow Publications and Media Pvt. 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Ltd</general><scope>RBI</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20040901</creationdate><title>The treatment of complex dural arteriovenous fistulae through cranial base techniques</title><author>Kattner KeithA, Roth ToniC, Nardone EmilioM, Giannotta StevenL</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b350t-885c9b38668e8c06abe847b336d167319f783cd0fe2fcc79461ad33bccc408f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arteriovenous Fistula - surgery</topic><topic>Arteriovenous fistula, dural, skull base</topic><topic>Cerebral Angiography</topic><topic>Craniotomy</topic><topic>Diagnosis</topic><topic>Embolization, Therapeutic</topic><topic>Female</topic><topic>Fistula, Arteriovenous</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurosurgical Procedures</topic><topic>Radiosurgery</topic><topic>Retrospective Studies</topic><topic>Skull base</topic><topic>Skull Base - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kattner KeithA, Roth ToniC, Nardone EmilioM, Giannotta StevenL</creatorcontrib><collection>Bioline International</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Neurology India</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kattner KeithA, Roth ToniC, Nardone EmilioM, Giannotta StevenL</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The treatment of complex dural arteriovenous fistulae through cranial base techniques</atitle><jtitle>Neurology India</jtitle><addtitle>Neurol India</addtitle><date>2004-09-01</date><risdate>2004</risdate><volume>52</volume><issue>3</issue><spage>325</spage><epage>331</epage><pages>325-331</pages><issn>0028-3886</issn><eissn>1998-4022</eissn><abstract>Introduction: The endovascular modality of treatment is the preferred
treatment modality for DAVF. In some circumstances, successful
obliteration may not be possible by endovascular means, and such cases
may require a direct surgical treatment. The authors report on their
experience with the use of cranial base approaches in the treatment of
deep and complex DAVF. Materials and Methods: Nine patients were
treated between 1992 and 2003. There were six females and three males.
Four patients presented with intracerebral hemorrhage, two with
progressive myelopathy, two with tinnitus, and one with incapacitating
chronic seizures. Four DAVF were tentorial, two transverse sigmoid, one
craniocervical, one straight sinus, and one sphenoparietal.
Endovascular embolization was attempted and unsuccessful in four cases,
and was successful only as an adjunct to surgery in four others. All
patients required the use of cranial base approaches to disconnect the
fistula or resect the nidus. Results: Complete obliteration of the
fistula was possible in all cases. Six-month follow-up results were
obtained on seven patients where there was no evidence of recurrence.
One postoperative temporal-lobe hematoma required surgical evacuation.
One patient died two years postoperatively from an unrelated cause.
Conclusion: This retrospective study demonstrates that complex DAVF
can be successfully treated with the assistance of cranial base
techniques.</abstract><cop>India</cop><pub>Medknow Publications on behalf of the Neurological Society of India</pub><pmid>15472420</pmid><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Bioline International; EZB-FREE-00999 freely available EZB journals |
subjects | Adult Aged Arteriovenous Fistula - surgery Arteriovenous fistula, dural, skull base Cerebral Angiography Craniotomy Diagnosis Embolization, Therapeutic Female Fistula, Arteriovenous Humans Male Middle Aged Neurosurgical Procedures Radiosurgery Retrospective Studies Skull base Skull Base - surgery Treatment Outcome |
title | The treatment of complex dural arteriovenous fistulae through cranial base techniques |
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