Far lateral craniotomy for disconnection of vertebral dural arteriovenous fistula: how I do it.
Acta Neurochir (Wien)
; 165(4): 989-992, 2023 04.
Article
em En
| MEDLINE
| ID: mdl-36462066
ABSTRACT
BACKGROUND:
Craniocervical junction (CCJ) vascular abnormalities can be challenging to treat because of the surrounding density of critical neurovascular anatomy. Although most dural arteriovenous fistulas (dAVFs) are now treated with endovascular surgery, dAVFs near the CCJ are often better suited for microsurgical obliteration with precise vascular control.METHODS:
We describe our microsurgical approach to treating dAVFs at the CCJ. This includes a far-lateral approach with a small incision centered over the transverse process of the atlas and circumferential skeletonization of the vertebral artery in addition to clipping the fistula to limit lesion recurrence.CONCLUSIONS:
Definitive microsurgical treatment of CCJ dAVFs can be accomplished using a minimally invasive approach.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Malformações Vasculares do Sistema Nervoso Central
/
Embolização Terapêutica
/
Procedimentos Endovasculares
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article