How I do it: surgical ligation of craniocervical junction dural AV fistulas

Background Dural arteriovenous fistulas (DAVFs) of the craniocervical junction are uncommon vascular lesions, which often require surgical treatment even in the endovascular era. Methods Most commonly, the fistula is placed laterally, and surgical ligation is performed through a lateral suboccipital...

Full description

Saved in:
Bibliographic Details
Published in:Acta neurochirurgica 2017-08, Vol.159 (8), p.1489-1492
Main Authors: Sorenson, Thomas J., La Pira, Biagia, Hughes, Joshua, Lanzino, Giuseppe
Format: Article
Language:English
Subjects:
Cardiovascular system
Central Nervous System Vascular Malformations - surgery
Craniotomy - adverse effects
Craniotomy - methods
Dura Mater - surgery
Fistulae
How I Do it - Neurosurgical Techniques
Humans
Interventional Radiology
Lesions
Ligation - adverse effects
Ligation - methods
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Postoperative Complications - prevention & control
Surgical Orthopedics
Vertebrae
Vertebral Artery - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Dural arteriovenous fistulas (DAVFs) of the craniocervical junction are uncommon vascular lesions, which often require surgical treatment even in the endovascular era. Methods Most commonly, the fistula is placed laterally, and surgical ligation is performed through a lateral suboccipital craniotomy. After dural opening, the area is inspected, and the arterialized vein is identified emerging from the dura, often adjacent to the entry point of the vertebral artery, and ligated. Conclusions A far lateral craniotomy is the authors’ preferred surgical approach for accessing and treating dural arteriovenous fistulas of the craniocervical junction that cannot be reached endovascularly.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-017-3200-6