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Updated: May 7, 2026
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula
Yao-Lin Lee1, Ching-Chung Ko2,3,4, Chien-Min Chen5,6
1Department of Neurosurgery, Chi Mei Medical Center, Tainan, Taiwan.
Background:
Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait.
Method:
Thoracic MRI of the lesion indicated myelomalacia and dilated blood vessels, while DSA revealed the right T6 radicular artery as the feeding arteriole. A full endoscopic obliteration of the lesion was performed under angiography guidance in a hybrid operation room.
Conclusion:
The case underscores the importance of a multidisciplinary and individualized approach to successfully manage sDAVF using a fully endoscopic approach.
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