How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula

• DOI: 10.1007/s00701-024-05997-0
• Publication Date: 2024-02-27T06:02:21Z
• Authors: Yao-Lin Lee; Ching-Chung Ko; Chien-Min Chen; Jen-Chieh Liao
• Keywords: Interventional radiology; Arteriovenous malformation; Neuroradiology

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.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.The case underscores the importance of a multidisciplinary and individualized approach to successfully manage sDAVF using a fully endoscopic approach.