TY - JOUR
T1 - Selection of Treatment Modalities or Observation of Dural Arteriovenous Fistulas
AU - Paul, Alexandra R.
AU - Colby, Geoffrey P.
AU - Huang, Judy
AU - Tamargo, Rafael J.
AU - Coon, Alexander
PY - 2012/1
Y1 - 2012/1
N2 - 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.
AB - 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.
KW - Dural arteriovenous fistula
KW - Dural arteriovenous malformation
KW - Endovascular
UR - http://www.scopus.com/inward/record.url?scp=81855206269&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=81855206269&partnerID=8YFLogxK
U2 - 10.1016/j.nec.2011.09.004
DO - 10.1016/j.nec.2011.09.004
M3 - Review article
C2 - 22107860
AN - SCOPUS:81855206269
SN - 1042-3680
VL - 23
SP - 77
EP - 85
JO - Neurosurgery clinics of North America
JF - Neurosurgery clinics of North America
IS - 1
ER -