Spinal Dural Arteriovenous Shunts
Issued Date
2022-01-01
Resource Type
Scopus ID
2-s2.0-85163555771
Journal Title
Intracranial and Spinal Dural Arteriovenous Fistulas
Start Page
207
End Page
239
Rights Holder(s)
SCOPUS
Bibliographic Citation
Intracranial and Spinal Dural Arteriovenous Fistulas (2022) , 207-239
Suggested Citation
Ayudhaya S.(.S.N. Spinal Dural Arteriovenous Shunts. Intracranial and Spinal Dural Arteriovenous Fistulas (2022) , 207-239. 239. doi:10.1007/978-981-19-5767-3_15 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/87925
Title
Spinal Dural Arteriovenous Shunts
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
Spinal dural arteriovenous shunt (SDAVS) is the most common vascular shunt of the spine. SDAVS occurs predominantly in men (more than 80% patients), commonly involves the thoracolumbar spine, and usually causes progressive myelopathy because of venous hypertension of the spinal cord. Recent advances in imaging technology can visualize the detailed angioarchitecture of the SDAVS, and provide more information of the regional microanatomy related with the SDAVS. Based on these data, classifications for SDAVSs was reviewed. Endovascular embolization is an increasingly effective therapy in the treatment of SDAVSs, and can be used as a definitive intervention in the majority of patients. As surgery is required for refractory cases or those not amenable to embolization, a multidisciplinary approach to the treatment of these lesions is required.