Sage Journals: Discover world-class research

Abstract

Dural arteriovenous fistulas (dAVFs) of the anterior cranial fossa have traditionally been treated by open surgical disconnection. Safe navigation through the ophthalmic artery or fragile cortical veins has historically provided a barrier to effective endovascular occlusion of these lesions. Using current microcatheter technology and embolic materials, safe positioning within the distal ophthalmic artery, beyond the origin of the central retinal artery, is achievable. We describe two cases in which anterior cranial fossa dAVFs were treated by exclusively endovascular strategies, and highlight the pertinent technical and anatomic considerations. We discuss the clinical symptoms resulting from the differing venous drainage patterns.

Keywords

cribiform endovascular fistula

Get full access to this article

View all access options for this article.

References

Katsaridis

Papagiannaki

Violaris

. Endovascular treatment of a bilateral ophthalmic-ethmoidal artery dural arteriovenous fistula. J Neuro-Ophthalmol. 2007; 27: 281–284.

Tahon

Salkine

Amsalem

. Dural arteriovenous fistula of the anterior fossa treated with Onyx liquid embolic system and the Sonic microcatheter. Neuroradiology. 2008; 50: 429–432.

Cognard

Gobin

Pierot

. Cerebral dural arteriovenous fistulas: Clinical and angiographic correlation with a revised classification of venous drainage. Radiology. 1995; 194: 671–80.

Defreyne

Vanlangenhove

Vandekerckhove

. Transvenous embolization of a dural arterovenous fistula of the anterior cranial fossa: Preliminary results. Am J Neuroradiol. 200; 21: 761–765.

Reul

Thron

Laborde

. Dural arterovenous malformations at the base of the anterior cranial fossa. Report of nine cases. Neuroradiology. 1993; 35: 388–393.

Van Dijk

terBrugge

Willinsky

. Clinical course of cranial dural arterovenous fistulas with long-term persistent cortical venous reflux. Stroke. 2002; 33: 1233–1236.

Soderman

Pavic

Edenr

. Natural history of dural arterovenous shunts. Stroke. 2008; 39: 1735–1739.

Ito

Imamura

Kobayashi

. Dural arterovenous malformations of the base of the anterior cranial fossa. Neuroradiology. 1983; 24: 149–154.

Lawton

Chun

Wilson

. Ethmoidal dural arteriovenous fistulae: An assessment of surgical and endovascular management. Neurosurgery. 1999; 45: 805–810.

10.

Lefkowitz

Giannotta

Hieshima

: Embolization of neurosurgical lesions involving the ophthalmic artery. Neurosurgery. 1998; 43: 1298–1303.

11.

Kakarla

Deshmukh

Zabramski

. Surgical treatment of high risk intracranial dural arteriovenous fistulae: Clinical outcomes and avoidance complications. Neurosurgery. 2007; 61: 447–449.

12.

Van Dijk

terBrugge

Willinsky

. Selective disconnection of cortical venous reflux as treatment for cranial dural arterovenous fistulae. J Neurosurg. 2004; 101: 31–35.

13.

Agid

terBrugge

Rodesch

. Management strategies for anterior cranial fossa (ethmoidal) dural arteriovenous fistulas with an emphasis on endovascular treatment. J Neurosurg. 2009; 110: 79–84.

14.

Cognard

Januel

Silva

. Endovascular treatment of intracranial dural arteriovenous fistulas with cortical venous drainage: New management using Onyx. Am J Neuroradiol. 2008; 29: 235–241.

15.

Rezende

Piotin

Mounayer

. Dural arterovenous fistula of the lesser sphenoid wing region treated with Onyx: Technical note. Neuroradiology. 2006; 48: 130–134.

16.

Abrahams

Bagley

Flamm

. Alternative management considerations for ethmoidal dural arteriovenous fistulas. Surg Neurol. 2002; 58: 410–416.

Endovascular Management of Anterior Cranial Fossa Dural Arteriovenous Malformations

Abstract

Keywords

Get full access to this article

References