Bifrontal approach for clip ligation of bilateral ethmoidal dural arteriovenous fistulas: Operative video

Tyler S. Cole; Sirin Gandhi; Justin R. Mascitelli; Douglas Hardesty; Claudio Cavallo; Michael T. Lawton

doi:10.3171/2019.2.FocusVid.18702

Bifrontal approach for clip ligation of bilateral ethmoidal dural arteriovenous fistulas: Operative video

Tyler S. Cole, Sirin Gandhi, Justin R. Mascitelli, Douglas Hardesty, Claudio Cavallo, Michael T. Lawton

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Venous interruption through surgical clip ligation is the gold standard treatment for ethmoidal dural arteriovenous fistula (e-dAVF). Their malignant natural history is attributable to the higher predilection for retrograde cortical venous drainage. This video illustrates an e-dAVF in a 70-year-old man with progressive tinnitus and headache. Angiogram revealed bilateral e-dAVFs (Borden III-Cognard III) with one fistula draining into cavernous sinus and another to the sagittal sinus. A bifrontal craniotomy was utilized for venous interruption of both e-dAVFs. Postoperative angiography confirmed curative obliteration with no postoperative anosmia. Bilateral e-dAVFs are rare but can be safely treated simultaneously through a single craniotomy.

Original language	English (US)
Article number	V14
Journal	Neurosurgical focus
Volume	46
DOIs	https://doi.org/10.3171/2019.2.FocusVid.18702
State	Published - 2019
Externally published	Yes

Keywords

Bifrontal craniotomy
Dural arteriovenous fistula
Ethmoidal fistula
Microsurgical clip ligation
Video

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.3171/2019.2.FocusVid.18702

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@article{2341bc4461834c51be23ed1f79d7e2e1,

title = "Bifrontal approach for clip ligation of bilateral ethmoidal dural arteriovenous fistulas: Operative video",

abstract = "Venous interruption through surgical clip ligation is the gold standard treatment for ethmoidal dural arteriovenous fistula (e-dAVF). Their malignant natural history is attributable to the higher predilection for retrograde cortical venous drainage. This video illustrates an e-dAVF in a 70-year-old man with progressive tinnitus and headache. Angiogram revealed bilateral e-dAVFs (Borden III-Cognard III) with one fistula draining into cavernous sinus and another to the sagittal sinus. A bifrontal craniotomy was utilized for venous interruption of both e-dAVFs. Postoperative angiography confirmed curative obliteration with no postoperative anosmia. Bilateral e-dAVFs are rare but can be safely treated simultaneously through a single craniotomy.",

keywords = "Bifrontal craniotomy, Dural arteriovenous fistula, Ethmoidal fistula, Microsurgical clip ligation, Video",

author = "Cole, {Tyler S.} and Sirin Gandhi and Mascitelli, {Justin R.} and Douglas Hardesty and Claudio Cavallo and Lawton, {Michael T.}",

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year = "2019",

doi = "10.3171/2019.2.FocusVid.18702",

language = "English (US)",

volume = "46",

journal = "Neurosurgical focus",

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AU - Cole, Tyler S.

AU - Gandhi, Sirin

AU - Mascitelli, Justin R.

AU - Hardesty, Douglas

AU - Cavallo, Claudio

AU - Lawton, Michael T.

N1 - Publisher Copyright: © AANS 2019, Except Where Prohibited By Us Copyright Law.

PY - 2019

Y1 - 2019

N2 - Venous interruption through surgical clip ligation is the gold standard treatment for ethmoidal dural arteriovenous fistula (e-dAVF). Their malignant natural history is attributable to the higher predilection for retrograde cortical venous drainage. This video illustrates an e-dAVF in a 70-year-old man with progressive tinnitus and headache. Angiogram revealed bilateral e-dAVFs (Borden III-Cognard III) with one fistula draining into cavernous sinus and another to the sagittal sinus. A bifrontal craniotomy was utilized for venous interruption of both e-dAVFs. Postoperative angiography confirmed curative obliteration with no postoperative anosmia. Bilateral e-dAVFs are rare but can be safely treated simultaneously through a single craniotomy.

AB - Venous interruption through surgical clip ligation is the gold standard treatment for ethmoidal dural arteriovenous fistula (e-dAVF). Their malignant natural history is attributable to the higher predilection for retrograde cortical venous drainage. This video illustrates an e-dAVF in a 70-year-old man with progressive tinnitus and headache. Angiogram revealed bilateral e-dAVFs (Borden III-Cognard III) with one fistula draining into cavernous sinus and another to the sagittal sinus. A bifrontal craniotomy was utilized for venous interruption of both e-dAVFs. Postoperative angiography confirmed curative obliteration with no postoperative anosmia. Bilateral e-dAVFs are rare but can be safely treated simultaneously through a single craniotomy.

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KW - Dural arteriovenous fistula

KW - Ethmoidal fistula

KW - Microsurgical clip ligation

KW - Video

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ER -

Bifrontal approach for clip ligation of bilateral ethmoidal dural arteriovenous fistulas: Operative video

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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