Endovascular treatment of cribriform plate dural arteriovenous fistulas: technical difficulties and complications avoidance

Journal of Neurointerventional Surgery
Thomas RobertMichel Piotin

Abstract

Cribriform plate dural arteriovenous fistula (dAVF) is a rare pathology, for which the treatment of choice used to be neurosurgery. Technological advances in micro-catheters and embolic agents permitted new endovascular alternatives. We included all patients treated endovascularly for a cribriform plate dAVF between 2008 and 2013. We retrospectively analysed data focusing on the type of treatment chosen. Ten patients were treated by endovascular approach, with a need for an additional surgical exclusion of the fistula in two cases. Thirteen embolisation sessions were done. Embolisation of the fistula through an ethmoidal artery was the technique of choice; the catheterism of the ophthalmic artery was impossible in two cases and the embolic agent did not penetrate in four cases. The embolisation through the middle meningeal artery was successful in one case but the tortuosity of this artery prevented good penetration of the embolic agent. Venous approach was successful in all cases but was limited to fistulas with superficial venous drainage. Endovascular treatment of cribriform plate dAVF is safe and effective. The embolisation through ethmoidal artery is the method of choice. Branches of the middle meningeal artery are tortuou...Continue Reading

References

May 1, 1990·Neurosurgery·V V HalbachC F Dowd
Jan 9, 2003·Surgical Neurology·John M AbrahamsGrant P Sinson
Oct 5, 2006·Eye·S S Hayreh
Jul 19, 2008·Stroke; a Journal of Cerebral Circulation·Sasikhan GeibprasertPierre Lasjaunias
Dec 25, 2008·Neurologia Medico-chirurgica·Takafumi TaneiMasao Watanabe
Sep 30, 1997·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Y MatsumaruP L Lasjaunias
Aug 24, 2010·Arquivos de neuro-psiquiatria·Felipe Padovani TrivelatoMarco Túlio Salles Rezende
Mar 26, 2013·Journal of Neurointerventional Surgery·Alejandro M SpiottaAquilla S Turk
Jan 11, 2014·Journal of Neuroradiology. Journal De Neuroradiologie·René ChapotPascal J Mosimann

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Citations

Dec 22, 2019·Neuroradiology·Sara BonasiaThomas Robert
Jan 26, 2020·Journal of Neurointerventional Surgery·Jorge A RoaEdgar A Samaniego
Oct 28, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Vera A MayercikJeremy J Heit
Jun 24, 2019·Journal of Neuroradiology. Journal De Neuroradiologie·Lorenzo PiergalliniPierre-Henri Lefevre

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