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Dural Arteriovenous Fistulae: Surgical Indications and Technique

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Management of Cerebrovascular Disorders


Dural arteriovenous fistulae are rare lesions with a wide range of manifestations and clinical courses. Lesions with cortical venous drainage (CVD) have a poor natural history and warrant treatment. Endovascular therapy is a good option for many dAVF, while surgery may be indicated for cases with unsuitable transarterial or transvenous access, perceived risk of neurologic deficits from embolization, and persistence of the fistula after previous embolization attempts. The operative strategy is dictated by whether the lesion involves a dural venous sinus or has solely cortical venous drainage, and the surgical approach is chosen to provide the best exposure to the fistula and its venous outflow.

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Correspondence to Alex M. Witek .

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Witek, A.M., Dudley, T.M., Bain, M.D. (2019). Dural Arteriovenous Fistulae: Surgical Indications and Technique. In: Spiotta, A., Turner, R., Chaudry, M., Turk, A. (eds) Management of Cerebrovascular Disorders. Springer, Cham.

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