Management of dural arteriovenous fistulas - Helsinki and Kuopio experience.
Acta Neurochir Suppl
; 107: 77-82, 2010.
Article
en En
| MEDLINE
| ID: mdl-19953375
ABSTRACT
Dural arteriovenous fistulas (DAVFs) are complex disorders, some of them with aggressive clinical behaviour. During past decades their treatment strategy has changed due to increased knowledge of their pathophysiology and natural history, and advances in treatment modalities. In asymptomatic cases or cases with mild symptoms in the absence of cortical venous drainage (CVD) no treatment is necessarily required, whereas aggressive DAVFs should be treated promptly by endovascular or microsurgical means.In our series of 323 patients with 333 fistulas, treated in two neurosurgical units in Finland since 1944, there were 265 true DAVFs and 68 Barrow type A caroticocavernous fistulas. Among the DAVFs there was a slight female predominance, 140 women (55%) and 115 men (45%), and the majority of the cases were located in the area of transverse and sigmoid sinuses. Mode of treatment in the early series was proximal ligation of feeding artery, and later craniotomy, endovascular treatment and radiosurgery, or combination of these treatments, with total occlusion rate being 53%.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Procedimientos Neuroquirúrgicos
/
Malformaciones Vasculares del Sistema Nervioso Central
/
Microcirugia
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
Límite:
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Acta Neurochir Suppl
Año:
2010
Tipo del documento:
Article
País de afiliación:
Finlandia