ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2011
Mechanism of the formation of dural arteriovenous fistula: the role of the emissary vein.
Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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35 citing papers in PubMed, 60 citations in OpenAlex.
- Endovascular treatment of an intraosseous dural arteriovenous fistula of the greater wing of the sphenoid: A case report and literature review.Radiology case reports · 2026Article
- Transarterial Embolization via the Occipital Artery for a Posterior Condylar Canal Dural Arteriovenous Fistula Following Head Trauma.NMC case report journal · 2026Article
- Intraosseous Arteriovenous Fistula of the Mastoid Emissary Canal Treated with Combined Transvenous and Transarterial Embolization: A Case Report.Journal of neuroendovascular therapy · 2026Article
- A case of cavernous sinus dural arteriovenous fistula successfully treated using a chronic total occlusion wire.Surgical neurology international · 2026Article
- Evolving Management Paradigms in Dural Arteriovenous Fistulas: From Classification to Personalized Endovascular Therapy.Biomedicines · 2025Article
- A Practical Approach to Intracranial Dural Arteriovenous Fistulas: Pathogenesis, Classification and Management.Journal of clinical medicine · 2025Review
- Epidural Arteriovenous Fistula After Endoscopic Lumbar Laminectomy: A Rare Postoperative Presentation.Cureus · 2025Article
- Dural arteriovenous fistula (DAVF) after venous sinus stent (VSS) for presumed idiopathic intracranial hypertension (IIH): A case report and literature review.Radiology case reports · 2025Article
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- Microsurgical Management of Craniocervical Dural Arteriovenous Fistula: A Case Report and Literature Review.Cureus · 2024Article
- De novo formation of remote dural arteriovenous fistula following treated cavernous sinus dural arteriovenous fistula.World neurosurgery: X · 2024Article
- The Significance of Venous Outflow Obstruction in Dural Arteriovenous Fistulas.Neurosurgery practice · 2023Article
- Acute traumatic dural arteriovenous fistula of the superior sagittal sinus: illustrative case.Journal of neurosurgery. Case lessons · 2023Article
- Surgical Treatment of a Giant Popliteal Venous Aneurysm and Arteriovenous Fistula on the Adjacent Femoral Vein and Its Postoperative Findings.Annals of vascular diseases · 2022Article
- Use of a Rigid-Tipped Microguidewire for the Endovascular Treatment of Cavernous Sinus Dural Arteriovenous Fistulas with an Occluded Inferior Petrosal Sinus.Journal of Korean Neurosurgical Society · 2022Article
- Anomalous Frontal Extra-Axial Midline Traversing Vein as the Potential Source of Subarachnoid Hemorrhage.Cureus · 2022Article
- Contralateral Transverse Sinus Occlusion After Treatment of Transverse-Sigmoid Sinus Dural Arteriovenous Fistula: A Case Report.Korean journal of neurotrauma · 2022Article
- Cerebral Veins: A New "New Frontier".AJNR. American journal of neuroradiology · 2022Article
- Risk Factors of Aggressive Clinical Presentation in Patients with Angiographically Aggressive Cranial Dural Arteriovenous Fistulas.Journal of clinical medicine · 2021Article
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6 authors at 1 institution in 1 country.
Funding
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Abstract
Dural arteriovenous fistula (DAVF) can be separated into two types: DAVF which drains through an affected sinus (sinus type) and DAVF with direct reflux to the cortical vein (non-sinus type). The present report attempted to clarify the mechanism of formation and development of DAVF focusing on the emissary vein (EV) hypothesis.First, inflammation occurs at the penetrating point of the EV on the dura due to idiopathic or secondary causes. Local inflammatory reactions induce vessel dilatation and neovascularization, and subsequently create arteriovenous (AV) connections on the arteriole level. Although EV communicating with dural arteries might play a role as draining routes at first, they start to degrade due to compression of enlarged emissary arteries or to a hemodynamic shift to the drainage pathway of least resistance. Following the occlusion of drainage pathway through EV into the sinus or cortical veins may form, resulting in clinically detectable DAVF. The AV shunt then expands to the surrounding dura associated with recruitment of feeders from distant sites induced by expression of angiogenetic factors and a shift in the hemodynamic balance. In sinus type DAVF, the sinus is progressively compartmentalized and finally occludes due to thrombogenesis with activated coagulopathy or to hemodynamic hypertrophy of the sinus wall. This progression results in the mature, aggressive DAVF with drainage impairments. Previous mechanistic hypotheses focusing on sinus hypertension and sinus thromboses cannot explain the pathogenesis of non-sinus type of DAVF. Although the etiology of DAVF may be concerned by the thrombo-occlusive change of sinus, the unique theory presented in this report may enable an understanding of the common etiology of both types of DAVF.
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