title: Radiosurgery for dural arterio-venous fistulas: a review.
abstract: Dural arteriovenous fistulas (dAVFs) are vascular lesions involving direct connections between intracranial dural arteries and venous sinuses. The goal of treatment of these vascular lesions is to alleviate symptoms and prevent future hemorrhage. While endovascular embolization remains the primary method of treatment and obliteration of dAVF recently, stereotactic radiosurgery (SRS) has been used as a treatment modality in select dAVF either alone or in conjunction with endovascular embolization. Considering recent studies examining dAVFs natural history and possible therapeutic interventions, the authors provide a concise review of the literature and discuss the indications, efficacy, and safety of SRS in the management of dAVFs.
authors.affiliation: Department of Neurosurgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, Philadelphia, PA 19107, USA.
authors.forename: Richard T
authors.initials: RT
authors.lastname: Dalyai
authors.forename: George
authors.initials: G
authors.lastname: Ghobrial
authors.forename: Nohra
authors.initials: N
authors.lastname: Chalouhi
authors.forename: Aaron S
authors.initials: AS
authors.lastname: Dumont
authors.forename: Stavropoula
authors.initials: S
authors.lastname: Tjoumakaris
authors.forename: L Fernando
authors.initials: LF
authors.lastname: Gonzalez
authors.forename: Robert
authors.initials: R
authors.lastname: Rosenwasser
authors.forename: Pascal
authors.initials: P
authors.lastname: Jabbour
mesh_terms: D020785:Central Nervous System Vascular Malformations / Q000601:surgery*; D006801:Humans; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology; D016634:Radiosurgery / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome