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Tentorial Dural Arteriovenous Fistulas: Anatomy, Clinical Presentation and Endovascular Treatment

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Intracranial and Spinal Dural Arteriovenous Fistulas

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Abstract

Tentorial dural arteriovenous fistulas (TDAVFs) located and occur in the (reflected) double dural layer of the tentorium and its attachments. The vast majority have leptomeningeal venous drainage and tend to cause intracranial hemorrhage or progressive neurological deficits. These lesions are often more challenging to treat than DAVFs at other locations and may require multiple treatment sessions and/or combined approaches. Because of their rarity, the number of reports describing TDAVFs and their endovascular management is limited. The introduction of the nonadhesive liquid agent ethylene-vinyl alcohol represents a paradigm shift regarding the endovascular treatment for TDAVFs. Endovascular treatment is a safe and effective therapy for TDAVFs. Transarterial embolization could be used as a primary therapeutic option for most TDAVFs. When a transarterial approach is not possible or does not result in total lesion occlusion, transvenous or combined approaches can be performed, leading to high angiographic occlusion rates.

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Authors and Affiliations

  1. Division of Interventional Neuroradiology, Felício Rocho Hospital, Belo Horizonte, Minas Gerais, Brazil

    Marco Túlio Salles Rezende, Felipe Padovani Trivelato & Alexandre Cordeiro Ulhôa

  2. Division of Interventional Neuroradiology, Rede Mater Dei de Saúde, Belo Horizonte, Minas Gerais, Brazil

    Marco Túlio Salles Rezende, Felipe Padovani Trivelato & Alexandre Cordeiro Ulhôa

  3. Division of Interventional Neuroradiology, Department of Radiology, Hematology and Oncology, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil

    Daniel Giansante Abud

Authors
  1. Marco Túlio Salles Rezende
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  2. Felipe Padovani Trivelato
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  3. Alexandre Cordeiro Ulhôa
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  4. Daniel Giansante Abud
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Editors and Affiliations

  1. Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China

    Xianli Lv

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Rezende, M.T.S., Trivelato, F.P., Ulhôa, A.C., Abud, D.G. (2022). Tentorial Dural Arteriovenous Fistulas: Anatomy, Clinical Presentation and Endovascular Treatment. In: Lv, X. (eds) Intracranial and Spinal Dural Arteriovenous Fistulas. Springer, Singapore. https://doi.org/10.1007/978-981-19-5767-3_12

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  • DOI: https://doi.org/10.1007/978-981-19-5767-3_12

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-5766-6

  • Online ISBN: 978-981-19-5767-3

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