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
Neurosurgeryjournal_title
Neurosurgeryauthors
Ng PP,Halbach VV,Quinn R,Balousek P,Caragine LP,Dowd CF,Higashida RT,Wilson Cdoi
10.1227/01.neu.0000068790.37318.24keywords:
subject
Has Abstractpub_date
2003-07-01 00:00:00pages
25-32; discussion 32-3issue
1eissn
0148-396Xissn
1524-4040journal_volume
53pub_type
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