Endovascular treatment for dural arteriovenous fistulae of the superior petrosal sinus.

Abstract:

OBJECTIVE:To determine the usefulness of endovascular embolization for treatment of dural arteriovenous fistulae of the superior petrosal sinus. METHODS:We performed a retrospective review of 18 patients treated during a 16-year period. Transarterial and/or transvenous embolizations were performed as a preoperative adjunct or definitive therapy. Clinical follow-up status was supplemented by telephone interviews to determine Glasgow Outcome Scale scores. RESULTS:Fourteen patients (78%) were treated with a combination of endovascular therapy and open surgery, and 4 were treated by embolization alone (22%). Angiographic cure was achieved in all patients (100%). Thirty-day morbidity and mortality were 11 and 0%, respectively. The mean follow-up period was 5.4 years. At the latest follow-up examination, all patients had returned to independent clinical status (Glasgow Outcome Scale scores of 1 or 2). CONCLUSION:Endovascular treatment of dural arteriovenous fistulae of the superior petrosal sinus can result in cure when access to the site of the fistula can be achieved. Preoperative embolization is a safe and effective adjunct to minimize bleeding during open neurosurgery.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Ng PP,Halbach VV,Quinn R,Balousek P,Caragine LP,Dowd CF,Higashida RT,Wilson C

doi

10.1227/01.neu.0000068790.37318.24

keywords:

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

25-32; discussion 32-3

issue

1

eissn

0148-396X

issn

1524-4040

journal_volume

53

pub_type

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