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Erschienen in: Acta Neurochirurgica 8/2017

15.05.2017 | How I Do it - Neurosurgical Techniques

How I do it: surgical ligation of craniocervical junction dural AV fistulas

verfasst von: Thomas J. Sorenson, Biagia La Pira, Joshua Hughes, Giuseppe Lanzino

Erschienen in: Acta Neurochirurgica | Ausgabe 8/2017

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Abstract

Background

Dural arteriovenous fistulas (DAVFs) of the craniocervical junction are uncommon vascular lesions, which often require surgical treatment even in the endovascular era.

Methods

Most commonly, the fistula is placed laterally, and surgical ligation is performed through a lateral suboccipital craniotomy. After dural opening, the area is inspected, and the arterialized vein is identified emerging from the dura, often adjacent to the entry point of the vertebral artery, and ligated.

Conclusions

A far lateral craniotomy is the authors’ preferred surgical approach for accessing and treating dural arteriovenous fistulas of the craniocervical junction that cannot be reached endovascularly.
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Literatur
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Zurück zum Zitat Wang J, Molenda J, Bydon A et al (2015) Natural history and treatment of craniocervical junction dural arteriovenous fistulas. J Clin Neurosci 22(11):1701–1707CrossRefPubMed Wang J, Molenda J, Bydon A et al (2015) Natural history and treatment of craniocervical junction dural arteriovenous fistulas. J Clin Neurosci 22(11):1701–1707CrossRefPubMed
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Metadaten
Titel
How I do it: surgical ligation of craniocervical junction dural AV fistulas
verfasst von
Thomas J. Sorenson
Biagia La Pira
Joshua Hughes
Giuseppe Lanzino
Publikationsdatum
15.05.2017
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 8/2017
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3200-6

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