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

doi:10.1201/9781003167464-11

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 proceeding › Chapter › peer-review

Abstract

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 language	English
Title of host publication	Intracranial Stereotactic Radiosurgery, Third Edition
Publisher	CRC Press
Pages	109-122
Number of pages	14
ISBN (Electronic)	9781000514353
ISBN (Print)	9780367765422
DOIs	https://doi.org/10.1201/9781003167464-11
State	Published - 1 Jan 2021

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title = "Stereotactic Radiosurgery for Dural Arteriovenous Fistulas",

abstract = "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.",

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

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AU - Lee, Cheng Chia

AU - Yang, Huai Che

AU - Hu, Yong Sin

AU - Lin, Chung-Jung

AU - Wu, Hsiu Mei

AU - Guo, Wan Yuo

AU - Chung, Wen Yuh

AU - Pan, David H.C.

PY - 2021/1/1

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N2 - 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.

AB - 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.

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Stereotactic Radiosurgery for Dural Arteriovenous Fistulas

Abstract

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