Combined Surgical and Endovascular Approach to a Complex Dural Arteriovenous Fistula Involving the Superior Sagittal Sinus and Torcula

• Published in: Journal of stroke and cerebrovascular diseases Vol. 21; no. 4; pp. 283 - 288
• Main Authors: Spiotta, Alejandro M., MD, Sivapatham, Thinesh, MD, Hussain, Muhammad Shazam, MD, Hui, Ferdinand K., MD, Moskowitz, Shaye I., MD, PhD, Gupta, Rishi, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.05.2012
• Subjects: Aged; Cardiovascular; Central Nervous System Vascular Malformations - diagnostic imaging; Central Nervous System Vascular Malformations - physiopathology; Central Nervous System Vascular Malformations - surgery; Combined Modality Therapy - instrumentation; Combined Modality Therapy - methods; Dural arteriovenous fistula; embolization; endovascular; Endovascular Procedures - methods; Fatal Outcome; Humans; Male; Neurology; Radiography; Superior Sagittal Sinus - diagnostic imaging; Superior Sagittal Sinus - surgery; surgical; Transverse Sinuses - diagnostic imaging; Transverse Sinuses - surgery; treatment; Treatment Failure; Vascular Surgical Procedures - methods; treatment; surgical; endovascular; embolization; Dural arteriovenous fistula

A complex dural arteriovenous fistula (dAVF) may require complex treatment strategies to achieve successful obliteration. We describe a combined open surgical and endovascular approach to a dAVF involving the superior sagittal sinus (SS) and torcula. A 68-year-old male with Factor V Leiden mutation...