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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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Author information

Authors and Affiliations

  1. Department of Neurosurgery, West Virginia University School of Medicine, Morgantown, WV, USA

    Ryan C. Turner

  2. Department of Neuroradiology, Robert C. Byrd Health Sciences Center, West Virginia University School of Medicine, Morgantown, WV, USA

    SoHyun Boo

Authors
  1. Ryan C. Turner
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  2. SoHyun Boo
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Corresponding author

Correspondence to SoHyun Boo .

Editor information

Editors and Affiliations

  1. Associate Chair of Neurology for Research, New York Medical College, Associate Professor of Neurology, Neurosurgery and Radiology, New York Medical College, Director of the Neuroendovascular Surgery Fellowship, Neuroendovascular Surgery (Interventional Neurologist) Attending Medical Director of Neurocritical Care, Westchester Medical Center at New York Medical College, New York, USA

    Fawaz Al-Mufti, MD

  2. Division of Neurointerventional Radiology, Goodman Campbell Brain and Spine, Division of Neurointerventional Radiology, Ascension St. Vincent Medical Center, Department of Neurosurgery, Marian College of Osteopathic Medicine, Indianapolis, IN, USA

    Krishna Amuluru MD

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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

  • eBook Packages: Springer Protocols

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