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Chapter-17 Cranial Arteriovenous Fistulae: Classifications, Endovascular and Surgical Techniques

BOOK TITLE: Neurovascular Surgical Techniques

Author
1. Alaraj Ali
2. Nathani Amit
3. Amin-Hanjani Sepideh
4. Aletich Victor
5. Charbel Fady T
ISBN
9789350900888
DOI
10.5005/jp/books/11824_17
Edition
1/e
Publishing Year
2013
Pages
30
Author Affiliations
1. Neuropsychiatric Institute, University of Illinois at Chicago, 912 S. Wood Street, MC-799, Chicago, Illinois, USA
2. Neuropsychiatric Institute, University of Illinois at Chicago, 912 S. Wood St, MC-799 Chicago, Illinois, USA, Atlanta Orthopaedic Institute, Atlanta, Georgia, USA
3. Neuropsychiatric Institute, University of Illinois at Chicago, 912 S. Wood Street, MC-799, Chicago, Illinois, USA
4. Neuropsychiatric Institute, University of Illinois at Chicago, 912 S. Wood St, MC-799, Chicago, Illinois, USA
5. Neuropsychiatric Institute, University of Illinois at Chicago, 912S. Wood St, MC-799, Chicago, Illinois, USA, Neuropsychiatric Institute, University of Illinois at Chicago, 912 S. Wood St, MC-799, Chicago, Illinois, USA
Chapter keywords
Cranial dural arteriovenous fistulae, meningeal artery, meningeal vein, Borden-Shucart system, the Cognard system, endovascular technique, surgical technique, stereotactic radiosurgery techniques

Abstract

Cranial dural arteriovenous fistulae (DAVF) are abnormal fistulae between a meningeal artery and a meningeal vein, dural venous sinus or subarachnoid vein. With rapid advancement in neuroimaging and better understanding of the natural history of DAVF, more patients are undergoing treatment for these lesions by either endovascular technique or surgical technique or both in combination. A multidisciplinary approach that combines surgical, endovascular and radiosurgery procedures are used in treatment of complex DAVF. The commonly used classification systems for DAVF are the Borden-Shucart system and the Cognard system. These two systems serve as a rationale for choosing a specific treatment modality. This chapter gives an overview on the recent literature regarding classification, updated risk stratification data and modes of treatment of DAVFs including endovascular, open surgical or combined approaches.

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