Surgical treatment of spinal dural arteriovenous fistulas
92 patients with dural ateriovenous fistulas (AVF), been operated from 1998 to 2010, were under observation. Open microsurgical AVF switch-off was performed in all these patients. Before that AVF endovascular obliteration was used at 27 patients as an independent treatment method. However, because of AVF recurrence and neurologic symptoms progression patients were hospitalized for open microsurgical operation performing.
To study treatment effectiveness we used the standardized assessment of neurological status before operation and before patient’s discharging from the hospital, and also in remote period (4–48 months later). After surgery a “significant improvement” was observed at 21 patients, “improvement” — at 62 patients, “no changes” — at 9, there was no neurological status worse. AVF treatment results depend on the completeness and adequacy of pathological anastomosis between feeding artery and drain vein switching-off that can be performed safely and radically only using microsurgical treatment.
Full Text:PDF (Русский)
Da Costa L.В. Spinal cord vascular shunts: spinal cord vascular malformations and dural arteriovenous fistulas / L. B. Da Costa, A.R. Dehdashti // Neurosurg. Focus. — 2009. — V.26, N1. — P.156–158.
Dehdashti A.R. Overview of the current role of endovascular and surgical treatment in spinal dural arteriovenous fistulas / A.R. Dehdashti, L.B. Da Costa // Neurosurg. Focus. — 2009. — V.26, N1. — P.140–142.
Krings T. Spinal dural arteriovenous fistulas / T. Krings, S. Geibprasert // Am. J. Neuroradiol. — 2009. — V.30, N4. — P.639–648.
Diaz Day J. Minimally invasive surgical closure of a spinal dural arteriovenous fistula / J. Diaz Day // Minim. Invas. Neurosurg. — 2008. — V.51, N3. — P.183–186.
Geibprasert S. Cervical spine dural arteriovenous fistula presenting with congestive myelopathy of the conus // S. Geibprasert, S. Pongpech // J. Neurosurg. Spine. — 2009. — V.11, N4. — P.427–431.
Aghakhani N. Curable cause of paraplegia: spinal dural arteriovenous fistulae / N. Aghakhani, F. Parker, P. David // Stroke. — 2008. — V.39, N10. — P.2756–2759.
Colby G.P. Intraoperative indocyanine green angiography for obliteration of a spinal dural arteriovenous fistula / G.P. Colby, A.L. Coon // J. Neurosurg Spine. — 2009. — V.11, N6. — P.705–709.
Prieto R. Recovery from paraplegia after the treatment of spinal dural arteriovenous fistula: case report and review of the literature / R. Prieto, J.M. Pascual // Acta Neurochir. (Wien). — 2009. — V.151, N11. — P.1385–1397.
Shedid D. Common origin of the artery of Adamkiewicz and a posterior spinal artery with a spinal dural arteriovenous fistula: a case report / D. Shedid, V.K. Podichetty // Neurosurg. Focus. — 2009. — V.28, N9. — P.15–20.
Lad S.P. National trends in spinal arteriovenous malformations / S.P. Lad, J.G. Santarelli // Neurosurg. Focus. — 2009. — V.26, N1. — P.1–5.
Sivakumar W. Endovascular management of spinal dural arteriovenous fistulas. A review / W. Sivakumar, G. Zada // Neurosurg. Focus. — 2009. — V.26, N5. — P.25–27.
Marquardt G. Preoperative coil marking to facilitate intraoperative localization of spinal dural arteriovenous fistulas / G. Marquardt, J. Berkefeld // Eur. Spine J. — 2009. — V.18, N8. — P.1117–1120.
Hessler C. Therapeutic clues in spinal dural arteriovenous fistulas — a 30 year experience of 156 cases / C. Hessler, J. Regelsberger // Cen. Eur. Neurosurg. — 2010. — V.71, N1. — P.8–12.
Krings T. Endovascular management of spinal vascular malformations / T. Krings, A.K. Thron / Neurosurg. Rev. — 2010. — V.33, N1. — P.1–9.
GOST Style Citations
Copyright (c) 2010 E. I. Slynko, A. M. Zolotoverkh
This work is licensed under a Creative Commons Attribution 4.0 International License.