Treatment of Spinal Arteriovenous Malformation and Fistula

Authors

Jeff Ehresman, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013, USA.
Joshua S. Catapano, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013, USA.Follow
Jacob F. Baranoski, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013, USA.Follow
Ashutosh P. Jadhav, Department of Interventional Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.Follow
Andrew F. Ducruet, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013, USA.
Felipe C. Albuquerque, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013, USA. Electronic address: Neuropub@barrowneuro.org.Follow

Document Type

Article

Abstract

With the rapid advancements in endovascular therapy over previous decades, the treatment of spinal arteriovenous malformations (AVMs) continues to evolve. The decision to use endovascular versus surgical therapy largely depends on the type of lesion and its anatomic location. Recent studies demonstrate that endovascular treatment is effective for extradural arteriovenous fistulas (AVFs), intradural ventral (perimedullary) AVMs, and intramedullary spinal AVMs. Treatment of intradural dorsal (dural) AVFs remains largely surgical because of lower recurrence rates, although recent studies demonstrate equivocal outcomes. Extradural-intradural (juvenile) AVMs and conus AVMs remain difficult-to-treat lesions.

Keywords

Embolization, Endovascular, Fistula, Malformation, Spinal arteriovenous

Medical Subject Headings

Arteriovenous Fistula (surgery); Arteriovenous Malformations (diagnostic imaging, surgery); Central Nervous System Vascular Malformations (pathology, surgery); Humans; Spinal Cord (pathology, surgery)

Publication Date

4-1-2022

Publication Title

Neurosurgery clinics of North America

E-ISSN

1558-1349

Volume

33

Issue

2

First Page

193

Last Page

206

PubMed ID

35346451

Digital Object Identifier (DOI)

10.1016/j.nec.2021.11.005

Recommended Citation

Ehresman, Jeff; Catapano, Joshua S.; Baranoski, Jacob F.; Jadhav, Ashutosh P.; Ducruet, Andrew F.; and Albuquerque, Felipe C., "Treatment of Spinal Arteriovenous Malformation and Fistula" (2022). Translational Neuroscience. 2297.
https://scholar.barrowneuro.org/neurobiology/2297