Treatment outcomes and the role of the DES scheme in the appropriate treatment selection for high-grade dural arteriovenous fistulas
CONCLUSIONS: This study suggests that microsurgical disconnection is a viable primary treatment modality for Borden type III dAVFs, particularly for dAVFs that meet the criteria of directness and exclusivity according to the DES scheme. The DES scheme demonstrates its relevance in selecting the most appropriate treatment strategy for affected patients.PMID:38428002 | DOI:10.3171/2023.12.FOCUS23788 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - March 1, 2024 Category: Neurosurgery Authors: Benjamin Beyersdorf Stefanos Voglis Guoming Zhao Johannes Sarnthein Luca Regli Menno R Germans Source Type: research
Intracranial dural arteriovenous fistulas: association with cerebral venous thrombosis, baseline aggressiveness, and clinical outcomes. A retrospective multicenter study on 263 consecutive patients and literature review
CONCLUSIONS: This was one of the largest studies focused on the incidence of CVT associated with icDAVF. For 6.8% of the patients, a natural history of CVT leading to icDAVF was proven, corresponding to 78.3% of patients with previous imaging available. This work offers further insights into icDAVF pathophysiology, aiding in identifying high-risk CVT patients for long-term follow-up imaging. Annual imaging follow-up using noninvasive vascular imaging (CT or MR angiography) for a minimum of 3 years after the diagnosis of CVT should be considered in high-risk patients, i.e., smokers and those with prothrombogenic status.PMID...
Source: Neurosurgical Focus - March 1, 2024 Category: Neurosurgery Authors: Clara Cohen St éphanie Lenck Atika Talbi H éloïse Ifergan K évin Premat Gr égoire Boulouis K évin Janot Anne-Laure Boch Christophe Magni Denis Herbreteau Nader Sourour Eimad Shotar Val ère Barrot Fr édéric Clarençon Source Type: research
Long-term treatment outcomes and natural course of low-grade intracranial dural arteriovenous fistulas
CONCLUSIONS: Treatment of low-grade dAVF provides a high rate of symptom relief with small risks for complications with neurological sequela. The risks of ICH and mortality in patients with untreated low-grade dAVF are minimal. Symptoms may not reveal high-grade recurrence, and radiological follow-up may be warranted in selected patients with treated low-grade dAVF. An optimal radiographic follow-up regimen should be developed by a future prospective multicenter registry.PMID:38428004 | DOI:10.3171/2024.1.FOCUS23767 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - March 1, 2024 Category: Neurosurgery Authors: Tobias Rossmann Michael Veldeman Elias Oulasvirta Ville Nurminen Philip-Rudolf Rauch Andreas Gruber Martin Lehecka Mika Niemel ä Jussi Numminen Rahul Raj Source Type: research
Letter to the Editor. Surgical strategies for basilar invagination with or without atlantoaxial instability
Neurosurg Focus. 2024 Mar;56(3):E19. doi: 10.3171/2023.11.FOCUS23789.NO ABSTRACTPMID:38428006 | DOI:10.3171/2023.11.FOCUS23789 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - March 1, 2024 Category: Neurosurgery Authors: Qiang Jian Tao Fan Source Type: research
A contemporary analysis of surgical ligation versus endovascular embolization in patients with intracranial dural arteriovenous fistulas: a propensity score-matched and mixed-effects model study
CONCLUSIONS: Surgical approach may influence perioperative outcomes in patients treated for intracranial dAVF-most significantly discharge disposition and 1-year readmission. Future longitudinal prospective studies with more clinical detail will be required to fully capture the predictive utility of surgical approach in patients treated for intracranial dAVF, particularly for various dAVF subtypes.PMID:38428007 | DOI:10.3171/2023.12.FOCUS23774 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - March 1, 2024 Category: Neurosurgery Authors: Shane Shahrestani Michelot Michel Maria Paula Aguilera-Pena Miguel D Quintero-Consuegra Nestor R Gonzalez Source Type: research
