Endovascular Management of Intracranial Dural AVFs: Transvenous Approach.

Cavernous Sinus Central Nervous System Vascular Malformations / diagnostic imaging Cerebral Veins / diagnostic imaging Embolization, Therapeutic Endovascular Procedures Humans

Journal

AJNR. American journal of neuroradiology
ISSN: 1936-959X
Titre abrégé: AJNR Am J Neuroradiol
Pays: United States
ID NLM: 8003708

Informations de publication

Date de publication:
04 2022
Historique:
received: 05 02 2021
accepted: 09 07 2021
pubmed: 16 10 2021
medline: 13 4 2022
entrez: 15 10 2021
Statut: ppublish

Résumé

In this third review article on the endovascular management of intracranial dural AVFs, we discuss transvenous embolization approaches. Transvenous embolization is increasingly popular and now the first-line approach for ventral dural AVFs involving the cavernous sinus and hypoglossal canal. In addition, transvenous embolization is increasingly used in lateral epidural dural AVFs in high-risk locations such as the petrous and ethmoid regions. The advantage of transvenous embolization in these locations is the ability to retrogradely embolize the draining vein and fistula while reducing the risk of ischemic cranial neuropathy or brain parenchymal infarction commonly feared from a transarterial approach. By means of coils ± ethylene-vinyl alcohol copolymer, transvenous embolization can achieve angiographic cure rates of 80%-90% in ventral locations. Potential complications include transient cranial neuropathy, neurologic deterioration due to venous outflow obstruction, and perforation while navigating pial veins. Transvenous embolization should be considered when dural AVFs arise in proximity to the vasa nervosum or extracranial-intracranial anastomoses.

Identifiants

DOI: 10.3174/ajnr.A7300 PMID: 34649915 PMC: PMC8993200
pubmed: 34649915
pii: ajnr.A7300
doi: 10.3174/ajnr.A7300
pmc: PMC8993200
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

510-516

Informations de copyright

© 2022 by American Journal of Neuroradiology.

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Auteurs

K D Bhatia (KD)

From the Division of Neuroradiology (K.D.B., H.L., H.K., J.K., W.G., T.K., V.M.P.) Kartik.bhatia@health.nsw.gov.au.
Division of Medical Imaging (K.D.B.), Sydney Children's Hospital Network, Westmead, New South Wales, Australia.
Division of Paediatrics (K.D.B.), Faculty of Medicine, University of Sydney, Camperdown, New South Wales, Australia.
Division of Paediatrics (K.D.B.), Faculty of Medicine, University of New South Wales, Kensington, New South Wales, Australia.
Division of Medical Imaging (K.D.B.), Faculty of Medicine, Macquarie University, Macquarie Park, New South Wales, Australia.
ORCID: 0000-0002-3431-5647

H Lee (H)

From the Division of Neuroradiology (K.D.B., H.L., H.K., J.K., W.G., T.K., V.M.P.).
Department of Neurosurgery (H.L.), Stanford University School of Medicine, Stanford, California.
ORCID: 0000-0003-0058-1020

H Kortman (H)

From the Division of Neuroradiology (K.D.B., H.L., H.K., J.K., W.G., T.K., V.M.P.).
Division of Neuroradiology (H.K.), Elisabeth-TweeSteden Ziekenhuis Hospital, Tilburg, the Netherlands.
ORCID: 0000-0002-4183-7881

J Klostranec (J)

From the Division of Neuroradiology (K.D.B., H.L., H.K., J.K., W.G., T.K., V.M.P.).
Division of Interventional Neuroradiology (J.K.), McGill University Health Centre, Montreal, Quebec, Canada.
ORCID: 0000-0003-3553-0530

W Guest (W)

From the Division of Neuroradiology (K.D.B., H.L., H.K., J.K., W.G., T.K., V.M.P.).
Division of Interventional Neuroradiology (W.G., V.M.P.), St. Michael's Hospital, Toronto, Ontario, Canada.
ORCID: 0000-0003-0836-3669

T Wälchli (T)

Division of Neurosurgery (T.W., I.R., T.K., V.M.P.), Toronto Western Hospital, Toronto, Ontario, Canada.
ORCID: 0000-0002-8961-6551

I Radovanovic (I)

Division of Neurosurgery (T.W., I.R., T.K., V.M.P.), Toronto Western Hospital, Toronto, Ontario, Canada.
ORCID: 0000-0003-1335-2761

T Krings (T)

From the Division of Neuroradiology (K.D.B., H.L., H.K., J.K., W.G., T.K., V.M.P.).
Division of Neurosurgery (T.W., I.R., T.K., V.M.P.), Toronto Western Hospital, Toronto, Ontario, Canada.
ORCID: 0000-0001-6321-5787

V M Pereira (VM)

From the Division of Neuroradiology (K.D.B., H.L., H.K., J.K., W.G., T.K., V.M.P.).
Division of Neurosurgery (T.W., I.R., T.K., V.M.P.), Toronto Western Hospital, Toronto, Ontario, Canada.
Division of Interventional Neuroradiology (W.G., V.M.P.), St. Michael's Hospital, Toronto, Ontario, Canada.
ORCID: 0000-0002-6804-3985

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Classifications MeSH

questionsmedicales.fr › Système cardiovasculaire › Vaisseaux sanguins › Veines › Sinus veineux crâniens › Sinus caverneux › Endovascular Management of Intracranial Dural...
questionsmedicales.fr › Malformations et maladies congénitales, héréditaires et néonatales › Malformations › Malformations du système nerveux › Malformations vasculaires du système nerveux central › Endovascular Management of Intracranial Dural...
questionsmedicales.fr › Système cardiovasculaire › Vaisseaux sanguins › Veines › Veines de l'encéphale › Endovascular Management of Intracranial Dural...
questionsmedicales.fr › Thérapeutique › Occlusion thérapeutique › Embolisation thérapeutique › Endovascular Management of Intracranial Dural...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Procédures endovasculaires › Endovascular Management of Intracranial Dural...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Endovascular Management of Intracranial Dural...