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Minim Invas Neurosur · Jun 2008
Case ReportsMinimally invasive surgical closure of a spinal dural arteriovenous fistula.
- J Diaz Day.
- Department of Neurosurgery, The University of Texas, Health Science Center at San Antonio, San Antonio, TX, USA. DayJ3@uthscsa.edu
- Minim Invas Neurosur. 2008 Jun 1; 51 (3): 183-6.
Objective And ImportanceThe treatment of a spinal dural arteriovenous fistula (DAVF) via a minimally invasive approach utilizing a tubular retraction system is described.Clinical ProblemSpinal dural arteriovenous fistulas are treated by either direct surgical obliteration or endovascular embolization to close the fistula. Surgical treatment traditionally requires a full or hemi-laminectomy with intradural exposure and obliteration of the draining vein of the fistula.TechniqueSurgical treatment is performed via a targeted, minimally invasive approach to close the draining vein of the DAVF intradurally utilizing a tubular retraction system.ConclusionSurgical treatment of spinal DAVFs can be performed in a targeted, minimally invasive manner with a short operative time and minimal tissue disruption.
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