Rupture of ethmoidal dural arteriovenous fistula – indication for emergency surgery (clinical cases)
https://doi.org/10.24412/1683-3295-2025-27-1-91-98
Аннотация
Objective of this paper is to demonstrate the variants of surgical treatment of ethmoidal dural arteriovenous fistulas (eDAVFs), propose a treatment algorithm for ruptured and unruptured eDAVFs taking into account the literature data. This article presents 4 clinical cases of patients with eDAVFs. The arterial supply of eDAVF was performed by the ethmoidal branches of the ophthalmic artery in all cases. There were 3 ruptured eDAVF with formation of intracranial hematoma and one unruptured eDAVF. Three patients underwent open surgical intervention, one – transvenous eDAVF embolization. Complete exclusion of eDAVF without complications in the postoperative period was confirmed in 3 patients, 1 patient died because of consequences of hemorrhage.
Patients with eDAVF rupture required immediate surgical intervention due to extremely high risk of repeat rupture. The main techniques of eDAVF treatment are open surgical intervention and endovascular embolization. Patients with unruptured eDAVF should be referred to Federal neurosurgical centers for endovascular treatment.
Об авторах
I. V. Senko
Federal Center for Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Bld. 10, 1 Ostrovityanova St., Moscow 117513
E. S. Ryzhkova
S.S. Yudin City Clinical Hospital, Moscow Healthcare Department
Россия
Россия
Ryzhkova Elena Stanislavovna.
Bld. 10, 1 Ostrovityanova St., Moscow 117513
S. A. Melchenko
Federal Center for Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Bld. 10, 1 Ostrovityanova St., Moscow 117513
I. V. Grigoriev
Federal Center for Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia
Россия
Россия
Bld. 10, 1 Ostrovityanova St., Moscow 117513
D. V. Khovrin
S.S. Yudin City Clinical Hospital, Moscow Healthcare Department
Россия
Россия
4 Kolomenskiy Proezd, 115446 Moscow
Список литературы
1. Brown R.D., Flemming K.D., Meyer F.B. et al. Natural history, evaluation, and management of intracranial vascular malformations. Mayo Clinic Proc 2005;80(2):269–81. DOI: 10.4065/80.2.269
2. Newton T.H., Cronquest S. Involvement of dural arteries in intracranial arteriovenous malformations. Radiology 1969;4(6):409. DOI: 10.1097/00004424-196911000-00036
3. Cognard C., Gobin Y.P., Pierot L. et al. Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 1995;194(3):671–80. DOI: 10.1148/radiology.194.3.78629
4. Halbach V.V., Higashida R.T., Hieshima G.B. et al. Dural arteriovenous fistulas supplied by ethmoidal arteries. Neurosurgery 1990;26(5):816–23. DOI: 10.1097/00006123-199005000-00014
5. Başkaya M.K., Suzuki Y., Seki Y. et al. Dural arteriovenous malformations in the anterior cranial fossa. Acta Neurochirurgica 1994;129(3–4):146–51. DOI: 10.1007/bf01406494
6. Bulters D.O., Mathad N., Culliford D. et al. The natural history of cranial dural arteriovenous fistulae with cortical venous reflux – the significance of venous ectasia. Neurosurgery 2012;70(2):312–9. DOI: 10.1227/neu.0b013e318230966f
7. Zipfel G.J., Shah M.N., Refai D. et al. Cranial dural arteriovenous fistulas: modification of angiographic classification scales based on new natural history data. Neurosurg Focus 2009;26(5):E14. DOI: 10.3171/2009.2.focus0928
8. Giannopoulos S., Texakalidis P., Alkhataybeh R.A.M. et al. Treatment of ethmoidal dural arteriovenous fistulas: a meta-analysis comparing endovascular vs surgical treatment. World Neurosurg 2019;128:593–9.e1. DOI: 10.1016/j.wneu.2019.04.227
9. Duffau H., Lopes M., Janosevic V. et al. Early rebleeding from intracranial dural arteriovenous fistulas: report of 20 cases and review of the literature. J Neurosurg 1999;90(1):78–84. DOI: 10.3171/jns.1999.90.1.0078
10. Van Dijk J.M.C., Terbrugge K.G., Willinsky R.A., Wallace M.C. Selective disconnection of cortical venous reflux as treatment for cranial dural arteriovenous fistulas. J Neurosurg 2004;101(1):31–5. DOI: 10.3171/jns.2004.101.1.0031
11. Gross B.A., Moon K., Kalani M.Y.S. et al. Clinical and anatomic insights from a series of ethmoidal dural arteriovenous fistulas at Barrow Neurological Institute. World Neurosurg 2016;93:94–9. DOI: 10.1016/j.wneu.2016.05.052
12. Agid R., Terbrugge K., Rodesch G. et al. Management strategies for anterior cranial fossa (ethmoidal) dural arteriovenous fistulas with an emphasis on endovascular treatment. J Neurosurg 2009;110(1):79–84. DOI: 10.3171/2008.6.17601
13. Kakarla U.K., Deshmukh V.R., Zabramski J.M. et al. Surgical treatment of high-risk intracranial dural arteriovenous fistulae: clinical outcomes and avoidance of complications. Neurosurgery 2007;61(3):447–57; discussion 457–9. DOI: 10.1227/01.neu.0000290889.62201.7f
14. Al-Mahfoudh R., Kirollos R., Mitchell P. et al. Surgical disconnection of the cortical venous reflux for high-grade intracranial dural arteriovenous fistulas. World Neurosurg 2015;83(4):652–6. DOI: 10.1016/j.wneu.2014.12.025
15. Robert T., Blanc R., Smajda S. et al. Endovascular treatment of cribriform plate dural arteriovenous fistulas: technical difficulties and complications avoidance. J Neurointerv Surg 2015;8(9):954–8. DOI: 10.1136/neurintsurg-2015-011956
16. Cannizzaro D., Peschillo S., Cenzato M. et al. Endovascular and surgical approaches of ethmoidal dural fistulas: a multicenter experience and a literature review. Neurosurg Rev 2018;41(2):391–8. DOI: 10.1007/s10143-016-0764-1
17. Tahon F., Salkine F., Amsalem Y. et al. Dural arteriovenous fistula of the anterior fossa treated with the Onyx liquid embolic system and the Sonic microcatheter. Neuroradiology 2008;50(5):429–32. DOI: 10.1007/s00234-007-0344-8
18. Abrahams J.M., Bagley L.J., Flamm E.S. et al. Alternative management considerations for ethmoidal dural arteriovenous fistulas. Surg Neurol 2002;58:410–6; discussion 416. DOI: 10.1016/s0090-3019(02)00871-6
19. Defreyne L., Vanlangenhove P., Vandekerckhove T. et al. Transvenous embolization of a dural arteriovenous fistula of the anterior cranial fossa: preliminary results. AJNR Am J Neuroradiol 2000;21(4):761–5.
20. Lv X., Li Y., Wu Z. Endovascular treatment of anterior cranial fossa dural arteriovenous fistula. Neuroradiology 2008;50(5):433–7. DOI: 10.1007/s00234-007-0346-6
21. Albuquerque F.C., Ducruet A.F., Crowley R.W. et al. Transvenous to arterial Onyx embolization. J Neurointerv Surg 2014;6(4):281–5. DOI: 10.1136/neurintsurg-2012-010628
22. Spiotta A.M., Hawk H., Kellogg R.T. et al. Transfemoral venous approach for Onyx embolization of anterior fossa dural arteriovenous fistulae. J Neurointerv Surg 2013;6(3):195–9. DOI: 10.1136/neurintsurg-2012-010642
Рецензия
Для цитирования:
Senko I.V., Ryzhkova E.S., Melchenko S.A., Grigoriev I.V., Khovrin D.V. Rupture of ethmoidal dural arteriovenous fistula – indication for emergency surgery (clinical cases). Нейрохирургия. 2025;27(1):91-98. https://doi.org/10.24412/1683-3295-2025-27-1-91-98
For citation:
Senko I.V., Ryzhkova E.S., Melchenko S.A., Grigoriev I.V., Khovrin D.V. Rupture of ethmoidal dural arteriovenous fistula – indication for emergency surgery (clinical cases). Russian journal of neurosurgery. 2025;27(1):91-98. https://doi.org/10.24412/1683-3295-2025-27-1-91-98
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