title: Endovascular management of intracranial dural arteriovenous fistulas: a review.
abstract: Dural arteriovenous fistulas (DAVFs) are rare pathological entities presenting with a diverse clinical course, ranging from benign to life-threatening. Digital subtraction angiography remains the gold standard in the diagnosis of clinically suspected DAVFs. This article reviews the ethiopathogenesis, natural history, classification systems, clinical and angiographic features, and the current treatment strategies for these complex lesions. The management of DAVFs may include conservative treatment, endovascular intervention, microsurgery, and stereotactic radiosurgery. A multidisciplinary approach involving a neurosurgeon, interventional neuroradiologist, and neurologist is required before considering any type of treatment modality. The indication for the best therapeutic alternative must be individualized for each patient.
authors.affiliation: Department of Neurosurgery, New York Presbyterian Hospital, Weill Cornell Medical Center, New York, NY, United States. alejandrosantillanmd@gmail.com
authors.forename: Alejandro
authors.initials: A
authors.lastname: Santillan
authors.forename: Michael
authors.initials: M
authors.lastname: Nanaszko
authors.forename: Jan-Karl
authors.initials: JK
authors.lastname: Burkhardt
authors.forename: Athos
authors.initials: A
authors.lastname: Patsalides
authors.forename: Y Pierre
authors.initials: YP
authors.lastname: Gobin
authors.forename: Howard A
authors.initials: HA
authors.lastname: Riina
mesh_terms: D020785:Central Nervous System Vascular Malformations / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D004388:Dura Mater / Q000601:surgery; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008866:Microsurgery; D016634:Radiosurgery