• Neuroimaging Clin. N. Am. · Nov 2013

    Review

    Endovascular treatment of cerebral dural and pial arteriovenous fistulas.

    • Pascal Jabbour, Stavropoula Tjoumakaris, Nohra Chalouhi, Ciro Randazzo, Luis Fernando Gonzalez, Aaron Dumont, and Robert Rosenwasser.
    • Department of Neurosurgery, Jefferson Hospital for Neuroscience, Thomas Jefferson University Hospital, 909 Walnut Street, Philadelphia, PA 19107, USA. Electronic address: Pascal.jabbour@jefferson.edu.
    • Neuroimaging Clin. N. Am.. 2013 Nov 1;23(4):625-36.

    AbstractDural arteriovenous fistulas (DAVFs) are arteriovenous shunts from a dural arterial supply to a dural venous channel, typically supplied by pachymeningeal arteries and located near a major venous sinus. Pial arteriovenous fistulas (PAVFs) are composed of one or more arterial feeders draining into a single vein in the absence of an intervening nidus. Fistulas manifesting features of high risk for rupture should be treated aggressively, the spectrum of treatment varies from endovascular, surgical resection, and stereotactic radiosurgery. This article describes the natural history, clinical presentation, and treatment of dural and pial fistulas, with emphasis on endovascular treatment.Copyright © 2013 Elsevier Inc. All rights reserved.

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