Stereotactic Radiosurgery for Dural Arteriovenous Fistulas

Cheng Chia Lee, Huai Che Yang, Yong Sin Hu, Chung-Jung Lin, Hsiu Mei Wu, Wan Yuo Guo, Wen Yuh Chung, David H.C. Pan

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


An intracranial dural arteriovenous fistula (DAVF) is considered an acquired disease. DAVFs with anterograde cortical venous drainage (CVD) are considered benign, whereas DAVFs with retrograde CVD are considered aggressive. Stereotactic radiosurgery (SRS) is indicated as an initial treatment for DAVFs without CVD or DAVFs with asymptomatic CVD. An obliteration rate of 70% is expected for cavernous sinus DAVFs and 60% for non-cavernous sinus DAVFs. Few complications have been reported with SRS. Surgery or endovascular treatment (e.g., embolization and angioplasty) is indicated for aggressive DAVFs with extensive CVD, due to the immediate risks of hemorrhage, progressive neurological deficit, and/or severe venous hypertension.

Original languageEnglish
Title of host publicationIntracranial Stereotactic Radiosurgery, Third Edition
PublisherCRC Press
Number of pages14
ISBN (Electronic)9781000514353
ISBN (Print)9780367765422
StatePublished - 1 Jan 2021


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