Publication
Title
Surgical management of anterior cranial fossa dural arteriovenous fistulas : illustrative case series and review of surgical approaches
Author
Abstract
Background: Dural arteriovenous fistulas (DAVF) within the anterior cranial fossa (ACF) are of particular concern due to their higher hemorrhage rates. Surgical intervention is typically the most effective treatment for ACF DAVFs, although recent advancements suggest increasing use of endovascular techniques. It has consistently shown effectiveness, with minimal thromboembolic risks. Case description: We present two cases of ACF DAVF graded Cognard type IV. A successful pterional and frontotemporal approach was performed, respectively. Postoperative angiography confirmed complete DAVF occlusions, and the patients had an uneventful recovery. Conclusion: ACF DAVFs can be exposed through direct or indirect approaches, with advantages and drawbacks for each method. The anterior interhemispheric approach is widely recognized for its safety and efficacy. Limited studies have advocated for the use of the pterional approach, showing feasibility and potential benefits such as avoiding frontal sinus reconstruction and providing an excellent view of the fistula. Furthermore, pterional approach offers sufficient exposure and favorable cosmetic outcomes, making it a viable option for ACF DAVFs. The presented cases exemplify the efficacious surgical management of ACVF DAVFs through distinct approaches, underscoring the significance of personalized treatment strategies and the effectiveness of surgical interventions in accomplishing total obliteration of the fistulas.
Language
English
Source (journal)
Interdisciplinary neurosurgery : Advanced techniques and case management. - 2014, currens
Publication
Amsterdam : Elsevier , 2024
ISSN
2214-7519
DOI
10.1016/J.INAT.2023.101910
Volume/pages
36 (2024) , p. 1-5
Article Reference
101910
ISI
001125634400001
Full text (Publisher's DOI)
Full text (open access)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identifier
Creation 09.01.2024
Last edited 12.01.2024
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