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Mini-pterional approach for clip ligation of ethmoidal dural arteriovenous fistula.

08:00 EDT 1st April 2019 | BioPortfolio

Summary of "Mini-pterional approach for clip ligation of ethmoidal dural arteriovenous fistula."

Ethmoidal dural arteriovenous fistulas (DAVFs) have a near-universal association with cortical venous drainage and a malignant clinical course. Endovascular treatment options are often limited due to the high frequency of ophthalmic artery ethmoidal supply. A 64-year-old gentleman presented with syncope and was found to have a right ethmoidal DAVF. Rather than the traditional bicoronal craniotomy, an endoscope-assisted mini-pterional approach for clip ligation is demonstrated. The mini-pterional craniotomy allows a minimally invasive approach to ethmoidal DAVF via a lateral trajectory. The endoscope can help achieve full visualization in the narrow corridor.The video can be found here: https://youtu.be/ZroXp-T35DI.

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This article was published in the following journal.

Name: Neurosurgical focus
ISSN: 1092-0684
Pages: V9

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