Top

Published in:

01-07-2011 | Review

Radiosurgery for intracranial dural arteriovenous fistulas (DAVFs): a review

Authors: Ioannis Loumiotis, Giuseppe Lanzino, David Daniels, Jason Sheehan, Michael Link

Published in: Neurosurgical Review | Issue 3/2011

Abstract

The management of intracranial dural arteriovenous fistulas (DAVFs) is complex and may require a combination of various treatment techniques. Endovascular embolization has recently emerged as the primary definitive treatment modality. However, an increasing body of literature has supported the use of stereotactic radiosurgery as the sole therapeutic modality or in combination with embolization and/or surgery. We review the rationale, results, and complications of stereotactic radiosurgery for intracranial DAVFs.

Agid R, Terbrugge K, Rodesch G, Andersson T, Soderman M (2009) Management strategies for anterior cranial fossa (ethmoidal) dural arteriovenous fistulas with an emphasis on endovascular treatment. J Neurosurg 110(1):79–84PubMedCrossRef

Awad IA, Little JR, Akarawi WP, Ahl J (1990) Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg 72(6):839–850PubMedCrossRef

Barcia-Salorio JL, Soler F, Barcia JA, Hernandez G (1994) Radiosurgery of carotid-cavernous fistulae. Acta Neurochir Suppl 62:10–12PubMed

Barcia-Salorio JL, Soler F, Barcia JA, Hernandez G (1994) Stereotactic radiosurgery for the treatment of low-flow carotid-cavernous fistulae: results in a series of 25 cases. Stereotact Funct Neurosurg 63(1–4):266–270PubMedCrossRef

Barcia-Salorio JL, Soler F, Hernandez G, Barcia JA (1991) Radiosurgical treatment of low flow carotid-cavernous fistulae. Acta Neurochir Suppl (Wien) 52:93–95

Bavinzski G, Richling B, Killer M, Gruber A, Levy D (1996) Evolution of different therapeutic strategies in the treatment of cranial dural arteriovenous fistulas—report of 30 cases. Acta Neurochir (Wien) 138(2):132–138CrossRef

Bertalanffy A, Dietrich W, Kitz K, Bavinzski G (2001) Treatment of dural arteriovenous fistulae (DAVFS) at the superior sagittal sinus (sss) using embolisation combined with micro- or radiosurgery. Minim Invasive Neurosurg 44(4):205–210PubMedCrossRef

Bitoh S, Hasegawa H, Fujiwara M, Nakao K (1982) Irradiation of spontaneous carotid-cavernous fistulas. Surg Neurol 17(4):282–286PubMedCrossRef

Brown RD Jr, Flemming KD, Meyer FB, Cloft HJ, Pollock BE, Link ML (2005) Natural history, evaluation, and management of intracranial vascular malformations. Mayo Clin Proc 80(2):269–281PubMedCrossRef

10.

Chandler HC Jr, Friedman WA (1993) Successful radiosurgical treatment of a dural arteriovenous malformation: case report. Neurosurgery 33(1):139–141, discussion 141–132PubMedCrossRef

11.

Chen Z, Zhu G, Feng H, Tang W, Wang X (2008) Dural arteriovenous fistula of the anterior cranial fossa associated with a ruptured ophthalmic aneurysm: case report and review of the literature. Surg Neurol 69(3):318–321PubMedCrossRef

12.

Chung SJ, Kim JS, Kim JC, Lee SK, Kwon SU, Lee MC, Suh DC (2002) Intracranial dural arteriovenous fistulas: analysis of 60 patients. Cerebrovasc Dis 13(2):79–88PubMedCrossRef

13.

Cifarelli CP, Kaptain G, Yen CP, Schlesinger D, Sheehan JP (2010) Gamma knife radiosurgery for dural arteriovenous fistulas. Neurosurgery 67(5):1230–1235PubMedCrossRef

14.

Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, Chiras J, Merland JJ (1995) Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194(3):671–680PubMed

15.

Davies MA, TerBrugge K, Willinsky R, Coyne T, Saleh J, Wallace MC (1996) The validity of classification for the clinical presentation of intracranial dural arteriovenous fistulas. J Neurosurg 85(5):830–837PubMedCrossRef

16.

Duffau H, Lopes M, Janosevic V, Sichez JP, Faillot T, Capelle L, Ismail M, Bitar A, Arthuis F, Fohanno D (1999) Early rebleeding from intracranial dural arteriovenous fistulas: report of 20 cases and review of the literature. J Neurosurg 90(1):78–84PubMedCrossRef

17.

Friedman JA, Pollock BE, Nichols DA (2000) Development of a cerebral arteriovenous malformation documented in an adult by serial angiography. Case report. J Neurosurg 93(6):1058–1061PubMedCrossRef

18.

Friedman JA, Pollock BE, Nichols DA, Gorman DA, Foote RL, Stafford SL (2001) Results of combined stereotactic radiosurgery and transarterial embolization for dural arteriovenous fistulas of the transverse and sigmoid sinuses. J Neurosurg 94(6):886–891PubMedCrossRef

19.

Friedman JA, Meyer FB, Nichols DA, Coffey RJ, Hopkins LN, Maher CO, Meissner ID, Pollock BE (2001) Fatal progression of posttraumatic dural arteriovenous fistulas refractory to multimodal therapy. Case report. J Neurosurg 94(5):831–835PubMedCrossRef

20.

Giller CA, Barnett DW, Thacker IC, Hise JH, Berger BD (2008) Multidisciplinary treatment of a large cerebral dural arteriovenous fistula using embolization, surgery, and radiosurgery. Proc (Bayl Univ Med Cent) 21(3):255–257

21.

Goto K, Sidipratomo P, Ogata N, Inoue T, Matsuno H (1999) Combining endovascular and neurosurgical treatments of high-risk dural arteriovenous fistulas in the lateral sinus and the confluence of the sinuses. J Neurosurg 90(2):289–299PubMedCrossRef

22.

Guo WY, Pan DH, Wu HM, Chung WY, Shiau CY, Wang LW, Chiou HJ, Yen MY, Teng MM (1998) Radiosurgery as a treatment alternative for dural arteriovenous fistulas of the cavernous sinus. AJNR Am J Neuroradiol 19(6):1081–1087PubMed

23.

Gupta A, Periakaruppan A (2009) Intracranial dural arteriovenous fistulas: a review. Indian J Radiol Imaging 19(1):43–48PubMedCrossRef

24.

Hasuo K, Mizushima A, Matsumoto S, Uchino A, Uehara S, Miyoshi M, Mihara F, Ohmagari J, Ohnishi Y, Masuda K (1996) Type d dural carotid-cavernous fistula. Results of combined treatment with irradiation and particulate embolization. Acta Radiol 37(3 Pt 1):294–298PubMedCrossRef

25.

Heros RC (2006) Gamma knife surgery for dural arteriovenous fistulas. J Neurosurg 104(6):861–863, discussion 865–866PubMedCrossRef

26.

Hidaka H, Terashima H, Tsukamoto Y, Nakata H, Matsuoka S (1989) Radiotherapy of dural arteriovenous malformation in the cavernous sinus. Radiat Med 7(3):160–164PubMed

27.

Hinokuma K, Ohama E, Ikuta F, Tanimura K, Kameyama S (1990) Dural arteriovenous malformation with abnormal parenchymal vessels: an autopsy study. Acta Neuropathol 80(6):656–659PubMedCrossRef

28.

Hirai T, Korogi Y, Baba Y, Nishimura R, Hamatake S, Kawanaka K, Bussaka H, Takahashi M (1998) Dural carotid cavernous fistulas: role of conventional radiation therapy—long-term results with irradiation, embolization, or both. Radiology 207(2):423–430PubMed

29.

Inoue HK (2006) Long-term results of gamma knife surgery for arteriovenous malformations: 10- to 15-year follow up in patients treated with lower doses. J Neurosurg 105(Suppl):64–68PubMed

30.

Iwasaki M, Murakami K, Tomita T, Numagami Y, Nishijima M (2006) Cavernous sinus dural arteriovenous fistula complicated by pontine venous congestion. A case report. Surg Neurol 65(5):516–518, discussion 519PubMedCrossRef

31.

Kakarla UK, Deshmukh VR, Zabramski JM, Albuquerque FC, McDougall CG, Spetzler RF (2007) Surgical treatment of high-risk intracranial dural arteriovenous fistulae: clinical outcomes and avoidance of complications. Neurosurgery 61(3):447–457, discussion 457–449PubMedCrossRef

32.

Kida Y (2009) Radiosurgery for dural arteriovenous fistula. Prog Neurol Surg 22:38–44PubMedCrossRef

33.

Kiyosue H, Hori Y, Okahara M, Tanoue S, Sagara Y, Matsumoto S, Nagatomi H, Mori H (2004) Treatment of intracranial dural arteriovenous fistulas: current strategies based on location and hemodynamics, and alternative techniques of transcatheter embolization. Radiographics 24(6):1637–1653PubMedCrossRef

34.

Ko SB, Kim CK, Lee SH, Yoon BW (2009) Carotid cavernous fistula with cervical myelopathy. J Clin Neurosci 16(10):1350–1353PubMedCrossRef

35.

Kobayashi H, Hayashi M, Noguchi Y, Tsuji T, Handa Y, Caner HH (1988) Dural arteriovenous malformations in the anterior cranial fossa. Surg Neurol 30(5):396–401PubMedCrossRef

36.

Koebbe CJ, Singhal D, Sheehan J, Flickinger JC, Horowitz M, Kondziolka D, Lunsford LD (2005) Radiosurgery for dural arteriovenous fistulas. Surg Neurol 64(5):392–398, Discussion 398–399PubMedCrossRef

37.

Kurata A, Miyasaka Y, Irikura K, Fujii K, Kan S (2000) Stereotactic gamma surgery combined with endovascular surgery for treatment of a spontaneous carotid cavernous sinus fistula. Neuro-Ophthalmology 23(1):35–41. doi:10.1076/0165-8107(200002)2311-DFT035

38.

Kuroda S, Furukawa K, Shiga T, Ushikoshi S, Katoh C, Aoki T, Ishikawa T, Houkin K, Tamaki N, Iwasaki Y (2004) Pretreatment and posttreatment evaluation of hemodynamic and metabolic parameters in intracranial dural arteriovenous fistulae with cortical venous reflux. Neurosurgery 54(3):585–591, discussion 591–582PubMedCrossRef

39.

Lau LI, Wu HM, Wang AG, Yen MY, Hsu WM (2006) Paradoxical worsening with superior ophthalmic vein thrombosis after gamma knife radiosurgery for dural arteriovenous fistula of cavernous sinus: a case report suggesting the mechanism of the phenomenon. Eye (Lond) 20(12):1426–1428

40.

Lewis AI, Tomsick TA, Tew JM Jr (1994) Management of tentorial dural arteriovenous malformations: transarterial embolization combined with stereotactic radiation or surgery. J Neurosurg 81(6):851–859PubMedCrossRef

41.

Link MJ, Coffey RJ, Nichols DA, Gorman DA (1996) The role of radiosurgery and particulate embolization in the treatment of dural arteriovenous fistulas. J Neurosurg 84(5):804–809PubMedCrossRef

42.

Luciani A, Houdart E, Mounayer C, Saint Maurice JP, Merland JJ (2001) Spontaneous closure of dural arteriovenous fistulas: report of three cases and review of the literature. AJNR Am J Neuroradiol 22(5):992–996PubMed

43.

Maruyama K, Shin M, Kurita H, Tago M, Kirino T (2002) Stereotactic radiosurgery for dural arteriovenous fistula involving the superior sagittal sinus. Case report. J Neurosurg 97(5 Suppl):481–483PubMed

44.

Matsushige T, Nakaoka M, Ohta K, Yahara K, Okamoto H, Kurisu K (2006) Tentorial dural arteriovenous malformation manifesting as trigeminal neuralgia treated by stereotactic radiosurgery: a case report. Surg Neurol 66(5):519–523, discussion 523PubMedCrossRef

45.

Morimoto M, Mori K (1998) How to treat dural arteriovenous malformations or fistulas. Crit Rev Neurosurg 8(4):248–255PubMedCrossRef

46.

Murai Y, Yamashita Y, Ikeda Y, Node Y, Teramoto A (1999) Ruptured aneurysm of the orbitofrontal artery associated with dural arteriovenous malformation in the anterior cranial fossa—case report. Neurol Med-Chir (Tokyo) 39(2):157–160CrossRef

47.

O'Leary S, Hodgson TJ, Coley SC, Kemeny AA, Radatz MW (2002) Intracranial dural arteriovenous malformations: results of stereotactic radiosurgery in 17 patients. Clin Oncol (R Coll Radiol) 14(2):97–102

48.

Onizuka M, Mori K, Takahashi N, Kawahara I, Hiu T, Toda K, Baba H, Yonekura M (2003) Gamma knife surgery for the treatment of spontaneous dural carotid-cavernous fistulas. Neurol Med-Chir (Tokyo) 43(10):477–482, discussion 482–473CrossRef

49.

Pan DH, Chung WY, Guo WY, Wu HM, Liu KD, Shiau CY, Wang LW (2002) Stereotactic radiosurgery for the treatment of dural arteriovenous fistulas involving the transverse-sigmoid sinus. J Neurosurg 96(5):823–829PubMedCrossRef

50.

Pan HC, Sheehan J, Huang CF, Yang DY (2007) Two consecutive dural arteriovenous fistulae in a child: a case report of successful treatment with gamma knife radiosurgery. Childs Nerv Syst 23(10):1185–1190PubMedCrossRef

51.

Pan HC, Sun MH, Yang DY, Wang YC, Lee SD, Chen WH, Chen CC (2005) Multidisciplinary treatment of cavernous sinus dural arteriovenous fistulae with radiosurgery and embolization. J Clin Neurosci 12(7):744–749PubMedCrossRef

52.

Pierot L, Poisson M, Jason M, Pontvert D, Chiras J (1992) Treatment of type d dural carotid-cavernous fistula by embolization followed by irradiation. Neuroradiology 34(1):77–80PubMedCrossRef

53.

Pollock BE, Nichols DA, Garrity JA, Gorman DA, Stafford SL (1999) Stereotactic radiosurgery and particulate embolization for cavernous sinus dural arteriovenous fistulae. Neurosurgery 45(3):459–466, discussion 466–457PubMedCrossRef

54.

Potter JM (1954) Carotid-cavernous fistula; five cases with spontaneous recovery. Br Med J 2(4891):786–788PubMedCrossRef

55.

Ratliff J, Voorhies RM (1999) Arteriovenous fistula with associated aneurysms coexisting with dural arteriovenous malformation of the anterior inferior falx. Case report and review of the literature. J Neurosurg 91(2):303–307PubMedCrossRef

56.

Roos DE, Brophy BP, Zavgorodni SF, Francis JW (2000) Radiosurgery at the Royal Adelaide Hospital: the first 4 1/2 years' clinical experience. Australas Radiol 44(2):185–192PubMedCrossRef

57.

Saito A, Sugawara T, Mikawa S, Akamatsu Y, Saito H, Seki H (2008) A case of multiple pial arteriovenous fistulas associated with dural arteriovenous fistula. J Neurosurg 109(6):1103–1107PubMedCrossRef

58.

Sarma D, ter Brugge K (2003) Management of intracranial dural arteriovenous shunts in adults. Eur J Radiol 46(3):206–220PubMedCrossRef

59.

Sheehan J (2006) Gamma knife surgery for dural arteriovenous fistula. J Neurosurg 104(6):864–865, discussion 865–866PubMedCrossRef

60.

Shin M, Kurita H, Tago M, Kirino T (2000) Stereotactic radiosurgery for tentorial dural arteriovenous fistulae draining into the vein of Galen: report of two cases. Neurosurgery 46(3):730–733, discussion 733–734PubMedCrossRef

61.

Soderman M, Edner G, Ericson K, Karlsson B, Rahn T, Ulfarsson E, Andersson T (2006) Gamma knife surgery for dural arteriovenous shunts: 25 years of experience. J Neurosurg 104(6):867–875PubMedCrossRef

62.

Strom RG, Botros JA, Refai D, Moran CJ, Cross DT 3rd, Chicoine MR, Grubb RL Jr, Rich KM, Dacey RG Jr, Derdeyn CP, Zipfel GJ (2009) Cranial dural arteriovenous fistulae: asymptomatic cortical venous drainage portends less aggressive clinical course. Neurosurgery 64(2):241–247, discussion 247–248PubMedCrossRef

63.

Tytle TL, Punukollu PK (2001) Carotid cavernous fistula. Seminars in Cerebrovascular Diseases and Stroke 1(1):83–111CrossRef

64.

Uchino A, Kato A, Kuroda Y, Shimokawa S, Kudo S (1997) Pontine venous congestion caused by dural carotid-cavernous fistula: report of two cases. Eur Radiol 7(3):405–408PubMedCrossRef

65.

Ushikoshi S, Kikuchi Y, Houkin K, Saito H, Abe H (1998) Multiple dural arteriovenous fistulas. Neurol Med-Chir (Tokyo) 38(8):478–484CrossRef

66.

Vassilyadi M, Mehrotra N, Shamji MF, Michaud J (2009) Pediatric traumatic dural arteriovenous fistula. Can J Neurol Sci 36(6):751–756PubMed

67.

Voigt K, Sauer M, Dichgans J (1971) Spontaneous occlusion of a bilateral caroticocavernous fistula studied by serial angiography. Neuroradiology 2(4):207–211PubMedCrossRef

68.

Wu HM, Pan DH, Chung WY, Guo WY, Liu KD, Shiau CY, Wang LW, Chen SJ (2006) Gamma knife surgery for the management of intracranial dural arteriovenous fistulas. J Neurosurg 105(Suppl):43–51PubMed

69.

Yamada F, Fukuda S, Matsumoto K, Yoshii N (1984) Effect of radiotherapy on dural arteriovenous malformation. Long-term follow-up study and clinical evaluation. Neurol Med-Chir (Tokyo) 24(8):591–599CrossRef

70.

Yamada M, Miyasaka Y, Kitahara Y, Yada K, Kan S (1994) Dural arteriovenous malformation involving the inferior petrosal sinus—case report. Neurol Med-Chir (Tokyo) 34(5):300–303CrossRef

71.

Yamamoto M, Hara M, Ide M, Ono Y, Jimbo M, Saito I (1998) Radiation-related adverse effects observed on neuro-imaging several years after radiosurgery for cerebral arteriovenous malformations. Surg Neurol 49(4):385–397, discussion 397–388PubMedCrossRef

72.

Yasunaga T, Takada C, Uozumi H, Saito Y, Ueno S, Hatanaka Y, Baba Y, Takahashi M (1987) Radiotherapy of spontaneous carotid-cavernous sinus fistulas. Int J Radiat Oncol Biol Phys 13(12):1909–1913PubMedCrossRef

73.

Yeh PS, Wu TC, Tzeng WS, Lin HJ (2010) Endovascular angioplasty and stent placement in venous hypertension related to dural arteriovenous fistulas and venous sinus thrombosis. Clin Neurol Neurosurg 112(2):167–171PubMedCrossRef

74.

Yen M-Y, Yen S-H, Teng MM-H, Liu J-H (1996) Radiotherapy of dural carotid-cavernous sinus fistulas. Neuro-Ophthalmology 16(3):133–142. doi:10.3109/01658109609009673 CrossRef

Title: Radiosurgery for intracranial dural arteriovenous fistulas (DAVFs): a review
Authors: Ioannis Loumiotis
Giuseppe Lanzino
David Daniels
Jason Sheehan
Michael Link
Publication date: 01-07-2011
Publisher: Springer-Verlag
Published in: Neurosurgical Review / Issue 3/2011
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-011-0315-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Radiosurgery for intracranial dural arteriovenous fistulas (DAVFs): a review

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2011

Laparoscopy-assisted ventriculoperitoneal shunt surgery: personal experience and review of the literature

Microsurgery can cure most intracranial dural arteriovenous fistulae of the sinus and non-sinus type

Keiji Sano—memories of meetings

Setting up a microneurosurgical skull base lab: technical and operational considerations

Cytokine networks in glioma

Contemporary surgical outcome for skull base meningiomas