[Treatment of cerebral dural arteriovenous fistula targetting drainage vein or sinus].
OBJECTIVE
To investigate the efficacy of occluding the drainage veins or sinus in patients with cerebral dural arteriovenous fistulae.


METHODS
Twenty patients with cerebral dural arteriovenous fistulae involving cavernous sinus (8), transverse-sigmoid sinus (6), tentorial sinus (3), superior sagittal (1), Galen (1) and straight sinus (1), were treated by transvenous embolization (14 patients), surgical interruption of venous drainage (5) and sinus isolation (1) respectively.


RESULTS
Clinical cure was obtained in 13 patients, symptoms were relieved in 6 and aggravated in one. Angiographically, complete cure was noted in 11 patients, partial disappearance of fistulas in 9. Sixteen patients were followed up for 1-48 months.


CONCLUSIONS
Targetting drainage vein or sinus occlusion is effective and safe in the management of patients with cerebral dural arteriovenous fistulae.
Yu
J
J
Research Centre of Interventional Neuroradiology, Xuanwu Hospital, Capital University of Medical Sciences, Beijing 100053, China.
Ling
F
F
Zhang
P
P
D000328:Adult; D000368:Aged; D020785:Central Nervous System Vascular Malformations / Q000601:surgery*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications