How I do it: surgical ligation of posteromedial tentorial dural arteriovenous fistulas.


Journal

Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000

Informations de publication

Date de publication:
26 Sep 2024
Historique:
received: 15 07 2024
accepted: 13 09 2024
medline: 26 9 2024
pubmed: 26 9 2024
entrez: 26 9 2024
Statut: epublish

Résumé

Tentorial dural arteriovenous fistulas (dAVFs) are categorized based on venous drainage and location. Although their angioarchitecture may initially appear intimidating, once "decodified," treatment is straightforward. Posteromedial tentorial dAVFs have an arterialized draining vein that emanates from the inferior tentorium along the posterior third of the straight sinus, just slightly off the midline. With the aid of anatomical dissections, intraoperative photos, and operative videos, we outline the key steps for surgical treatment of posteromedial tentorial dAVFs. Posteromedial tentorial dAVFs constitute a precise and well-defined subtype of tentorial dAVF for which surgical ligation has an important role.

Sections du résumé

BACKGROUND BACKGROUND
Tentorial dural arteriovenous fistulas (dAVFs) are categorized based on venous drainage and location. Although their angioarchitecture may initially appear intimidating, once "decodified," treatment is straightforward. Posteromedial tentorial dAVFs have an arterialized draining vein that emanates from the inferior tentorium along the posterior third of the straight sinus, just slightly off the midline.
METHOD METHODS
With the aid of anatomical dissections, intraoperative photos, and operative videos, we outline the key steps for surgical treatment of posteromedial tentorial dAVFs.
CONCLUSION CONCLUSIONS
Posteromedial tentorial dAVFs constitute a precise and well-defined subtype of tentorial dAVF for which surgical ligation has an important role.

Identifiants

pubmed: 39325275
doi: 10.1007/s00701-024-06272-y
pii: 10.1007/s00701-024-06272-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

382

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.

Références

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Auteurs

Amedeo Piazza (A)

Department of Neurological Surgery, Mayo Clinic, 200 1St St SW, Rochester, MN, 55905, USA.
Rhoton Neurosurgery and Otolaryngology Surgical Anatomy Program, Mayo Clinic, Rochester, MN, USA.
Department of Neurosurgery, "Sapienza" University, 00185, Rome, Italy.

A Yohan Alexander (AY)

Department of Neurological Surgery, Mayo Clinic, 200 1St St SW, Rochester, MN, 55905, USA.
Rhoton Neurosurgery and Otolaryngology Surgical Anatomy Program, Mayo Clinic, Rochester, MN, USA.
Medical School, University of Minnesota, Minneapolis, MN, USA.

Maria Peris-Celda (M)

Department of Neurological Surgery, Mayo Clinic, 200 1St St SW, Rochester, MN, 55905, USA.
Rhoton Neurosurgery and Otolaryngology Surgical Anatomy Program, Mayo Clinic, Rochester, MN, USA.
Department of Clinical Anatomy, Mayo Clinic, Rochester, MN, USA.

Giuseppe Lanzino (G)

Department of Neurological Surgery, Mayo Clinic, 200 1St St SW, Rochester, MN, 55905, USA. Lanzino.Giuseppe@mayo.edu.
Rhoton Neurosurgery and Otolaryngology Surgical Anatomy Program, Mayo Clinic, Rochester, MN, USA. Lanzino.Giuseppe@mayo.edu.
Department of Radiology, Mayo Clinic, Rochester, MN, USA. Lanzino.Giuseppe@mayo.edu.

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