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. 2024 Jul;35(3):331-342.
doi: 10.1016/j.nec.2024.02.005. Epub 2024 Mar 19.

Dural Arteriovenous Fistula

Kareem El Naamani  1 , Stavropoula I Tjoumakaris  1 , Michael Reid Gooch  1 , Pascal Jabbour  2
Affiliations

Dural Arteriovenous Fistula

Kareem El Naamani et al. Neurosurg Clin N Am. 2024 Jul.

Abstract

Dural arteriovenous fistulas are rare cerebrovascular lesions arising from abnormal connections between an artery and a vein. Though rare, high-grade aggressive lesions can cause hemorrhagic events and non-hemorrhagic neurologic deficits if left untreated. Treatment options vary based on angioarchitecture, location, and patient characteristics and range from conservative observation to palliative treatment, radiosurgery, endovascular embolization, and open surgery. The main goal of treatment is to obliterate flow through the abnormal connection and prevent further arterial flow to the venous system.

Keywords: Borden classification; Cognard classification; Diagnosis; Dural arteriovenous fistula; Embolization; Surgery.

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Conflict of interest statement

Disclosure Dr P. Jabbour is a consultant for Medtronic, MicroVention, Balt, and Cerus Endovascular. Dr S.I. Tjoumakaris is a consultant for MicroVention. Dr M.R. Gooch is a consultant for Stryker. Dr K. El Naamani has no personal, financial, or institutional interest in any of the drugs, materials, or devices described in this article.

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