Clinical analysis of the diagnosis and treatment of spinal dural arteriovenous fistulae
CAI Ming-jun
MA Lian-ting
YANG Ming
PAN Li
Abstract：Objective To investigate the treatment methods and outcomes of spinal dural arteriovenous fistulae (SDAVF). Methods The clinical data of 13 patients with SDAVF, of whom 11 received microsurgery and 2 endovascular embolization from March, 2015 to March, 2018, were analyzed retrospectively. Results All the patients were successfully treated by microsurgery or endovascular embolization. All the patients were recovered well without postoperative complications or neurologic defect. The following-up about 6 months after discharge from hospital showed that SDAVF did not recur in all the patients, in whom the spinal function improved differently in degree. Conclusions SDAVF should be operated as early as possible. The goal of microsurgery or endovascular embolization is the disconnection of the postfistula intradural shunting vein from the perimedullary venous plexus. The treatment method should be selected according to the angioarchitecture features and locations of the SDAVF. Microsurgery and endovascular emblization are the safe and effective methods to treat SDAVF.
Keywords：Spinal dural arteriovenous fistulaeMicrosurgeryEndovascular embolizationCurative effects
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 392-394 )