Iatrogenic dural arteriovenous fistula and aneurysmal subarachnoid hemorrhage.
Sudhakar Vadivelu, Xin Xin, Tina Loven, Guillermo Restrepo, David J Chalif, Avi Setton
Division of Neurosurgery and Interventional Neuroradiology, Hofstra North Shore-Long Island Jewish School of Medicine, and North Shore-Long Island Jewish Health System, Manhasset, New York 11030, USA. svadivel@nshs.edu
Neurosurgical focus 2012 MayThe authors present the case of a patient who presented acutely with aneurysmal subarachnoid hemorrhage (SAH) and a contralateral iatrogenic dural arteriovenous fistula (DAVF). Diagnostic angiography was performed, revealing a right-sided middle cerebral artery (MCA) aneurysm and a left-sided DAVF immediately adjacent to the entry of the ventriculostomy and bur hole site. A craniotomy was performed for clipping of the ruptured MCA aneurysm, and the patient subsequently underwent endovascular obliteration of the DAVF 3 days later. The authors present their treatment of an iatrogenic DAVF in a patient with an aneurysmal SAH, considerations in management options, and a literature review on the development of iatrogenic DAVFs.
Citation
Sudhakar Vadivelu, Xin Xin, Tina Loven, Guillermo Restrepo, David J Chalif, Avi Setton. Iatrogenic dural arteriovenous fistula and aneurysmal subarachnoid hemorrhage. Neurosurgical focus. 2012 May;32(5):E1
Mesh Tags
PMID: 22537118
View Full Text
