BookXianli Lv, editor.
Summary: The book introduces techniques, devices, device structures and therapeutic in dural arteriovenous fistulas. During past 4 decades, neurovascular or endovasuclar surgery developed fast and provide effective and minimally invasive treatment of dural arteriovenous fistulas. The treatment of dural arteriovenous fistulas has also seen substantial evolution, increasing the number of dural arteriovenous fistulas that can be treated successfully with minimally invasive therapy. Authors introduces the great advances in the techniques, devices and treatment concepts, which shows striking therapeutic benefit for dural arteriovenous fistulas. In each technique, authors introduce methods, cases, result, discussion and conclusion. The CT scan, MR imaging, angiography and surgical figures are provided in each chapter. Attending physicians, fellows, residents, medical students will benefit from reading this text.
Contents:
Intro
Preface
Acknowledgements
About the Book
Contents
About the Editor
1: Classifications of Cranial and Spinal Dural Arteriovenous Fistulas and Their Endovascular Embolization
1.1 Introduction
1.2 Zipfel Classification of DAVFs [13]
1.3 Endovascular Approaches
1.4 Transarterial Embolization
1.4.1 nBCA
1.4.2 Onyx
1.4.3 PHIL and Squid
1.5 Transvenous Approach
1.6 Stereotactic Radiosurgery
1.7 Surgery
1.8 Endovascular Management Based on Zipfel Classification of DAVFs [13]
1.9 Conclusions
References 2: Pediatric Intracranial Dural Arteriovenous Fistulas: Review of the Literature and Case Report
2.1 Introduction
2.2 Pediatric dAVF Classification
2.2.1 Dural Sinus Malformation
2.2.2 Infantile dAVFs
2.2.3 Adult-Type dAVFs
2.2.4 Other Classifications
2.3 Pathogenesis
2.4 Natural History
2.5 Clinical Manifestations
2.5.1 Symptoms of High-Flow Arteriovenous Shunts
2.5.1.1 Pediatric DSM with dAVF
2.5.1.2 Infantile dAVF
2.5.2 Symptoms from Retrograde Venous Drainage
2.5.3 Symptoms of Cavernous Sinus Involvement
2.5.4 Other Symptoms 2.6 Diagnostics
2.7 Treatment
2.7.1 Endovascular Treatment
2.8 Conclusion
References
3: Pediatric Dural Arteriovenous Shunts
3.1 Introduction
3.2 Classification and Description of Arteriovenous Shunts
3.3 Angiographic characteristics
3.4 Treatment
3.5 Predictors of Poor Neurological Outcome
3.6 Dural Sinus Malformations
3.7 Infantile Dural Arteriovenous Shunts
3.8 Adult-Type Dural Arteriovenous Shunts
3.9 Conclusion
References 4: A Small Tentorial Dural Arteriovenous Fistula with a Venous Aneurysm in the Pons Mimicking a Cavernous Angioma
4.1 Introduction
4.2 Case Presentation
4.3 Discussion
4.4 Conclusion
References
5: Endovascular Treatment for Traumatic Internal Carotid Cavernous Fistula: Current Difficulties and Solutions
5.1 Introduction
5.2 Angioarchitecture of TICCF
5.2.1 Feeding Artery
5.2.2 CS State and Fistula
5.2.3 Draining Path
5.2.4 Relationship Between Symptoms and Venous Drainage
5.3 EVT Principle and Choices
5.4 Transarterial EVT Technique 5.4.1 Reconstructive with Detachable Balloon or Coils
5.4.2 Reconstructive with Covered Stent and FD
5.4.2.1 Covered Stent
5.4.2.2 Flow Diversion
5.4.3 Deconstruction with ICA Trapping
5.5 Transvenous or Combined Transarterial EVT Techniques
5.6 Special Types of TICCF
5.6.1 Bilateral TICCFs
5.6.2 Recurrent TICCF
5.7 Complications
5.7.1 Technique Complication
5.7.2 Cranial Nerve Palsy
5.7.3 Ischemic Complication
5.7.4 Trigeminocardiac Reflex
5.8 Prognosis
5.9 Summary
References
6: Angioarchitecture of Dural Arteriovenous Fistula