title: Endovascular treatment of cerebral dural and pial arteriovenous fistulas.
abstract: Dural arteriovenous fistulas (DAVFs) are arteriovenous shunts from a dural arterial supply to a dural venous channel, typically supplied by pachymeningeal arteries and located near a major venous sinus. Pial arteriovenous fistulas (PAVFs) are composed of one or more arterial feeders draining into a single vein in the absence of an intervening nidus. Fistulas manifesting features of high risk for rupture should be treated aggressively, the spectrum of treatment varies from endovascular, surgical resection, and stereotactic radiosurgery. This article describes the natural history, clinical presentation, and treatment of dural and pial fistulas, with emphasis on endovascular treatment.
authors.affiliation: Department of Neurosurgery, Jefferson Hospital for Neuroscience, Thomas Jefferson University Hospital, 909 Walnut Street, Philadelphia, PA 19107, USA. Electronic address: Pascal.jabbour@jefferson.edu.
authors.forename: Pascal
authors.initials: P
authors.lastname: Jabbour
authors.forename: Stavropoula
authors.initials: S
authors.lastname: Tjoumakaris
authors.forename: Nohra
authors.initials: N
authors.lastname: Chalouhi
authors.forename: Ciro
authors.initials: C
authors.lastname: Randazzo
authors.forename: Luis Fernando
authors.initials: LF
authors.lastname: Gonzalez
authors.forename: Aaron
authors.initials: A
authors.lastname: Dumont
authors.forename: Robert
authors.initials: R
authors.lastname: Rosenwasser
mesh_terms: D020785:Central Nervous System Vascular Malformations / Q000175:diagnosis / Q000628:therapy*; D002548:Cerebral Revascularization / Q000295:instrumentation / Q000379:methods*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis / Q000628:therapy*; D059906:Neuroimaging / Q000379:methods; D010841:Pia Mater / Q000098:blood supply / Q000601:surgery; D025321:Surgery, Computer-Assisted / Q000379:methods
chemical_list: D006490:Hemostatics
keywords: Arteriovenous; Dural; Embolization; Endovascular; Fistula; Pial