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

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

Research output: Contribution to journalArticle

2 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1489-1492
Number of pages4
JournalActa Neurochirurgica
Volume159
Issue number8
DOIs
StatePublished - Aug 1 2017

Keywords

  • Arteriovenous fistula
  • Clipping
  • Far lateral approach
  • Suboccipital craniotomy
  • Surgery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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