Neuroendovascular management of dural arteriovenous malformations

Neurosurg Clin N Am. 2009 Oct;20(4):431-9. doi: 10.1016/


Dural arteriovenous fistulas are characterized by abnormal arteriovenous shunting localized to the pachymeninges. Fistulae venous drainage is essential to their classification, symptomatology, and treatment. Endovascular therapy is rapidly progressing to an adjunct or even alternative treatment to microsurgical resection. Several techniques, such as transarterial or transvenous embolization with metallic coils, NBCA, or Onyx, have been used successfully in several studies. The long-term clinical and radiographic outcomes of endovascular therapy for the treatment of dural arteriovenous fistulas are satisfactory, and future studies are underway for the refinement of these techniques.

Publication types

  • Review

MeSH terms

  • Central Nervous System Vascular Malformations / diagnosis
  • Central Nervous System Vascular Malformations / physiopathology
  • Central Nervous System Vascular Malformations / therapy*
  • Cerebral Arteries / diagnostic imaging
  • Cerebral Arteries / pathology
  • Cerebral Arteries / physiopathology
  • Cerebral Veins / diagnostic imaging
  • Cerebral Veins / pathology
  • Cerebral Veins / physiopathology
  • Cerebrovascular Circulation / physiology
  • Dimethyl Sulfoxide / therapeutic use
  • Dura Mater / blood supply
  • Dura Mater / pathology
  • Embolization, Therapeutic / instrumentation
  • Embolization, Therapeutic / methods*
  • Enbucrilate / therapeutic use
  • Humans
  • Polyvinyls / therapeutic use
  • Prostheses and Implants / trends
  • Radiography


  • Onyx copolymer
  • Polyvinyls
  • Enbucrilate
  • Dimethyl Sulfoxide