Endovascular treatment of dural arteriovenous shunts

Ali Shaibani, Richard Parkinson, Eric J. Russell, Bernard R. Bendok, Richard A. Bernstein, Matthew Walker, Ajay K. Wakhloo

Research output: Contribution to journalArticlepeer-review

Abstract

Dural arteriovenous shunts comprise 10% to 15% of intracranial vascular malformations. Their pathophysiology is complex and their natural history has only recently been adequately elucidated. High-grade dural arteriovenous shunts (those with cortical venous reflux) are associated with a 6.9% annual incidence of nonhemorrhagic neurologic complications, a 8.1% annual incidence of intracranial hemorrhage, and a 10.1% annual mortality rate. This article provides an overview of the imaging, workup, and indications and latest techniques for endovascular treatment of dural arteriovenous shunts. Treatment efficacy and complication rates are also discussed.

Original languageEnglish (US)
Pages (from-to)176-194
Number of pages19
JournalSeminars in Cerebrovascular Diseases and Stroke
Volume4
Issue number4
DOIs
StatePublished - Dec 2004

Keywords

  • Dural
  • Embolization
  • Endovascular
  • Fistula
  • Natural history

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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