Selection of Treatment Modalities or Observation of Dural Arteriovenous Fistulas

被引：11
作者：
Paul, Alexandra R. [2 ]
Colby, Geoffrey P. [1 ]
Huang, Judy [1 ]
Tamargo, Rafael J. [1 ]
Coon, Alexander L. [1 ]
机构：
[1] Johns Hopkins Univ, Sch Med, Johns Hopkins Hosp, Dept Neurosurg, Baltimore, MD 21287 USA
[2] Albany Med Ctr Hosp, Div Neurosurg, Albany, NY 12208 USA
来源：
NEUROSURGERY CLINICS OF NORTH AMERICA | 2012年 / 23卷 / 01期
关键词：
Dural arteriovenous malformation; Dural arteriovenous fistula; Endovascular; CAROTID-CAVERNOUS FISTULAS; CORTICAL VENOUS DRAINAGE; TRANSARTERIAL EMBOLIZATION; NATURAL-HISTORY; DETACHABLE COILS; STEREOTACTIC RADIOSURGERY; ENDOVASCULAR MANAGEMENT; MALFORMATIONS; SINUS; CLASSIFICATION;
D O I：
10.1016/j.nec.2011.09.004
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Cranial dural arteriovenous fistulas (DAVFs) represent an important class of cranial vascular lesions. The clinical significance of these lesions is highly dependent on the pattern of venous drainage, with cortical venous reflux being an important marker of an aggressive, high-risk fistula. For asymptomatic benign fistulas, conservative management, consisting of observation with follow-up, is a reasonable option. For symptomatic benign fistulas or aggressive fistulas, treatment is recommended. A variety of treatment modalities are available for DAVF management, including endovascular techniques, open surgery, and radiosurgery. A multimodality approach is often warranted and can offer improved chances of achieving a cure.
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页码：77 / +
页数：10
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