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Managing Complex Dural Arteriovenous Fistulas: Integrating Endovascular and Surgical Approaches

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Cerebrovascular Disorders

Part of the book series: Neuromethods ((NM,volume 170))

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Abstract

Dural arteriovenous fistula (dAVF) treatment continues to evolve with improvements in endovascular embolization techniques. Transvenous endovascular embolization techniques in particular remain favored due to favorable conditions for identifying the fistula and associated draining veins. Anatomical challenges associated with endovascular navigation for treatment of dAVF can be overcome in many instances with direct access techniques in which a burr hole or craniotomy is planned over a venous sinus responsible for draining the fistula. The sheath can then be inserted directly into the arterialized venous structure, eliminating many of the challenges of navigating for transvenous approaches. Herein we demonstrate the direct access technique for successful endovascular dAVF treatment.

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Correspondence to SoHyun Boo .

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Turner, R.C., Boo, S. (2021). Managing Complex Dural Arteriovenous Fistulas: Integrating Endovascular and Surgical Approaches. In: Al-Mufti, MD, F., Amuluru MD, K. (eds) Cerebrovascular Disorders. Neuromethods, vol 170. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-1530-0_13

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  • DOI: https://doi.org/10.1007/978-1-0716-1530-0_13

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  • Publisher Name: Humana, New York, NY

  • Print ISBN: 978-1-0716-1529-4

  • Online ISBN: 978-1-0716-1530-0

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