Endovascular treatment for sphenoidal region dural arteriovenous fistula
Sphenoidal region dural arteriovenous fistulas (DAVFs) are rare. Endovascular treatment (EVT) is an effective treatment approach. However, understanding and performing EVT for sphenoidal region DAVFs are difficult and challenging. Therefore, we performed a review to explore this issue further. In th...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1348178/full |
| _version_ | 1797338408486436864 |
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| author | Jinlu Yu |
| author_facet | Jinlu Yu |
| author_sort | Jinlu Yu |
| collection | DOAJ |
| description | Sphenoidal region dural arteriovenous fistulas (DAVFs) are rare. Endovascular treatment (EVT) is an effective treatment approach. However, understanding and performing EVT for sphenoidal region DAVFs are difficult and challenging. Therefore, we performed a review to explore this issue further. In this review, we discuss the dural feeders and venous structures of the sphenoidal region, the angioarchitecture of sphenoidal region DAVFs, the role and principle of EVT, various EVT techniques, and the prognosis and complications associated with EVT. We found that various EVT techniques, including transarterial embolization (TAE), retrograde transvenous embolization (TVE), and direct puncture EVT, can be used to treat sphenoidal region DAVFs. TAE represents the most commonly utilized approach. TVE and direct puncture EVT should be limited to highly selective cases. EVT must penetrate the fistula and very proximal venous recipient pouch with a liquid embolic agent or coil the fistula point to have a complete curative effect. Successful EVT can lead to the obliteration of sphenoidal region DAVFs and a good clinical outcome. However, these complications cannot be neglected. |
| first_indexed | 2024-03-08T09:30:47Z |
| format | Article |
| id | doaj.art-41fd5062bf534493aa32742528765f8a |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-08T09:30:47Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-41fd5062bf534493aa32742528765f8a2024-01-31T04:21:00ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-01-011510.3389/fneur.2024.13481781348178Endovascular treatment for sphenoidal region dural arteriovenous fistulaJinlu YuSphenoidal region dural arteriovenous fistulas (DAVFs) are rare. Endovascular treatment (EVT) is an effective treatment approach. However, understanding and performing EVT for sphenoidal region DAVFs are difficult and challenging. Therefore, we performed a review to explore this issue further. In this review, we discuss the dural feeders and venous structures of the sphenoidal region, the angioarchitecture of sphenoidal region DAVFs, the role and principle of EVT, various EVT techniques, and the prognosis and complications associated with EVT. We found that various EVT techniques, including transarterial embolization (TAE), retrograde transvenous embolization (TVE), and direct puncture EVT, can be used to treat sphenoidal region DAVFs. TAE represents the most commonly utilized approach. TVE and direct puncture EVT should be limited to highly selective cases. EVT must penetrate the fistula and very proximal venous recipient pouch with a liquid embolic agent or coil the fistula point to have a complete curative effect. Successful EVT can lead to the obliteration of sphenoidal region DAVFs and a good clinical outcome. However, these complications cannot be neglected.https://www.frontiersin.org/articles/10.3389/fneur.2024.1348178/fullsphenoid regiondural arteriovenous fistulaendovascular treatmentprognosiscomplication |
| spellingShingle | Jinlu Yu Endovascular treatment for sphenoidal region dural arteriovenous fistula Frontiers in Neurology sphenoid region dural arteriovenous fistula endovascular treatment prognosis complication |
| title | Endovascular treatment for sphenoidal region dural arteriovenous fistula |
| title_full | Endovascular treatment for sphenoidal region dural arteriovenous fistula |
| title_fullStr | Endovascular treatment for sphenoidal region dural arteriovenous fistula |
| title_full_unstemmed | Endovascular treatment for sphenoidal region dural arteriovenous fistula |
| title_short | Endovascular treatment for sphenoidal region dural arteriovenous fistula |
| title_sort | endovascular treatment for sphenoidal region dural arteriovenous fistula |
| topic | sphenoid region dural arteriovenous fistula endovascular treatment prognosis complication |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1348178/full |
| work_keys_str_mv | AT jinluyu endovasculartreatmentforsphenoidalregionduralarteriovenousfistula |