How I do it: exoscopic disconnection of anterior fossa dural arteriovenous fistulae

IF 1.9 3区 医学 Q3 CLINICAL NEUROLOGY Acta Neurochirurgica Pub Date : 2025-03-18 DOI:10.1007/s00701-025-06493-9
Sergio García-García, Hrvoje Barić, Anni Pohjola, Martin Lehecka
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Abstract

Background

Brain Dural Arteriovenous Fistulae (DAVF) are acquired abnormal connections between dural arteries and cerebral veins or venous sinuses. Disconnection of the pathological shunt is recommended for high-grade fistulae and cases with intolerable symptoms or previous bleedings. Surgical disconnection remains the preferred method for anterior fossa DAVF.

Method

Microsurgical disconnection of anterior fossa DAVF is performed with the assistance of a robotic exoscope. Intraoperative aniography is implemented to confirm the exclusion of DAVF.

Conclusion

The exoscope provides excellent lighting and magnification in challenging surgical fields improving surgeon's ergonomics and enabling tailored, minimally invasive approaches without compromising procedural safety or effectiveness.

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背景脑硬膜动静脉瘘(DAVF)是硬膜动脉与脑静脉或静脉窦之间的后天性异常连接。对于高位瘘管、症状难以忍受或既往有出血病史的病例,建议断开病理分流。前窝 DAVF 的显微外科断流术是在机器人外窥镜的辅助下进行的。结论外窥镜在具有挑战性的手术区域提供了良好的照明和放大效果,提高了外科医生的工效学水平,实现了量身定制的微创方法,同时不影响手术的安全性或有效性。
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来源期刊
Acta Neurochirurgica
Acta Neurochirurgica 医学-临床神经学
CiteScore
4.40
自引率
4.20%
发文量
342
审稿时长
1 months
期刊介绍: The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.
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