Classification, angioarchitecture and treatment outcomes of medullary bridging vein-draining dural arteriovenous fistulas in the foramen magnum region: a multicenter study

Ozaki, Tomohiko; Hiramatsu, Masafumi; Nakamura, Hajime; Niimi, Yasunari; Tanoue, Shuichi; Mizutani, Katsuhiro; Nakahara, Ichiro; Matsumaru, Yuji; Matsumoto, Yasushi; Krings, Timo; Fujinaka, Toshiyuki

doi:https://doi.org/10.1007/s00234-024-03478-w

Classification, angioarchitecture and treatment outcomes of medullary bridging vein-draining dural arteriovenous fistulas in the foramen magnum region: a multicenter study

Ozaki, Tomohiko; Hiramatsu, Masafumi; Nakamura, Hajime et al.

Neuroradiology, 2024, 67(1), 213-225

アクセス数:1,020件（2025-08-14 20:04 集計）

固定URL: https://hdl.handle.net/11094/98395

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タイトル	Classification, angioarchitecture and treatment outcomes of medullary bridging vein-draining dural arteriovenous fistulas in the foramen magnum region: a multicenter study
著者	NRID 1000000723123 1000000723123 ORCID 0000-0003-1558-4785 0000-0003-1558-4785 researchmap permalink tomohikoozaki tomohikoozaki 著者名 Ozaki, Tomohiko
	NRID 1000050771953 1000050771953 著者名 Hiramatsu, Masafumi
	NRID 1000080533794 1000080533794 researchmap permalink hnns-osaka hnns-osaka Scopus Author ID 55624478238 55624478238 著者名 Nakamura, Hajime
	著者名 Niimi, Yasunari
	NRID 1000050398252 1000050398252 著者名 Tanoue, Shuichi
	NRID 1000030626726 1000030626726 著者名 Mizutani, Katsuhiro
	NRID 1000080252451 1000080252451 著者名 Nakahara, Ichiro
	NRID 1000070323300 1000070323300 著者名 Matsumaru, Yuji
	著者名 Matsumoto, Yasushi
	著者名 Krings, Timo
	NRID 1000000359845 1000000359845 著者名 Fujinaka, Toshiyuki
キーワード等	Bridging vein
	Dural arteriovenous fistula
	Foramen Magnum
	Surgical obliteration
	Transarterial embolization
内容	The version of record of this article, first published in Neuroradiology, is available online at Publisher’s website: https://doi.org/10.1007/s00234-024-03478-w.
抄録	Purpose: This study aimed to classify medullary bridging vein-draining dural arteriovenous fistulas (MBV-DAVFs) located around the foramen magnum (FM) according to their location and characterize their angioarchitecture and treatment outcomes. Methods: Patients with MBV-DAVFs diagnosed between January 2013 and October 2022 were included. MBV-DAVFs were classified into four groups. Jugular vein-bridging vein (JV-BV) DAVF: located in proximity to jugular fossa, Anterior condylar vein (ACV)-BV DAVF: proximity to anterior condylar canal, Marginal sinus (MS)-BV DAVF: lateral surface of FM and Suboccipital cavernous sinus (SCS)-BV DAVF: proximity to dural penetration of vertebral artery. Results: Twenty patients were included, three JV-BV, four ACV-BV, three MS-BV and ten SCS-BV DAVFs, respectively. All groups showed male predominance. There were significant differences in main feeders between JV (jugular branch of ascending pharyngeal artery) and SCS group (C1 dural branch). Pial feeders from anterior spinal artery (ASA) or lateral spinal artery (LSA) were visualized in four SCS and one MS group. Drainage pattern did not differ between groups. Transarterial embolization (TAE) was performed in three, two, one and two cases and complete obliteration was obtained in 100%, 50%, 100% and 0% in JV, ACS, MS and SCS group, respectively. Successful interventions without major complications were finally obtained in 100%, 75%, 100%, and 40% in JV, ACS, MS and SCS group, respectively. Conclusion: JV-BV DAVFs were successfully treated using TAE alone. SCS-BV DAVFs were mainly fed by small C1 dural branches of vertebral artery often with pial feeders from ASA or LSA, and difficultly treated by TAE alone.
出版者	Springer Science and Business Media Deutschland GmbH
収録物名	Neuroradiology
巻(号)	67(1)
ページ	213-225
刊行年月	2024-10-12
言語	英語
ハンドルURL	https://hdl.handle.net/11094/98395
PISSN	00283940
eISSN	14321920
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1007/s00234-024-03478-w
アクセス権	open access
権利情報	This article is licensed under a Creative Commons Attribution 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCTERMS.bibliographicCitation	Neuroradiology. 2024, 67(1), p. 213-225
DC.title	Classification, angioarchitecture and treatment outcomes of medullary bridging vein-draining dural arteriovenous fistulas in the foramen magnum region: a multicenter study
DC.creator	Ozaki, Tomohiko
	Hiramatsu, Masafumi
	Nakamura, Hajime
	Niimi, Yasunari
	Tanoue, Shuichi
	Mizutani, Katsuhiro
	Nakahara, Ichiro
	Matsumaru, Yuji
	Matsumoto, Yasushi
	Krings, Timo
	Fujinaka, Toshiyuki
DC.publisher	Springer Science and Business Media Deutschland GmbH
DC.language' scheme='DCTERMS.RFC1766	英語
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2024-10-12
DC.identifier	https://doi.org/10.1007/s00234-024-03478-w
DC.subject	Bridging vein
	Dural arteriovenous fistula
	Foramen Magnum
	Surgical obliteration
	Transarterial embolization
DC.description	The version of record of this article, first published in Neuroradiology, is available online at Publisher’s website: https://doi.org/10.1007/s00234-024-03478-w.
DCTERMS.abstract	Purpose: This study aimed to classify medullary bridging vein-draining dural arteriovenous fistulas (MBV-DAVFs) located around the foramen magnum (FM) according to their location and characterize their angioarchitecture and treatment outcomes. Methods: Patients with MBV-DAVFs diagnosed between January 2013 and October 2022 were included. MBV-DAVFs were classified into four groups. Jugular vein-bridging vein (JV-BV) DAVF: located in proximity to jugular fossa, Anterior condylar vein (ACV)-BV DAVF: proximity to anterior condylar canal, Marginal sinus (MS)-BV DAVF: lateral surface of FM and Suboccipital cavernous sinus (SCS)-BV DAVF: proximity to dural penetration of vertebral artery. Results: Twenty patients were included, three JV-BV, four ACV-BV, three MS-BV and ten SCS-BV DAVFs, respectively. All groups showed male predominance. There were significant differences in main feeders between JV (jugular branch of ascending pharyngeal artery) and SCS group (C1 dural branch). Pial feeders from anterior spinal artery (ASA) or lateral spinal artery (LSA) were visualized in four SCS and one MS group. Drainage pattern did not differ between groups. Transarterial embolization (TAE) was performed in three, two, one and two cases and complete obliteration was obtained in 100%, 50%, 100% and 0% in JV, ACS, MS and SCS group, respectively. Successful interventions without major complications were finally obtained in 100%, 75%, 100%, and 40% in JV, ACS, MS and SCS group, respectively. Conclusion: JV-BV DAVFs were successfully treated using TAE alone. SCS-BV DAVFs were mainly fed by small C1 dural branches of vertebral artery often with pial feeders from ASA or LSA, and difficultly treated by TAE alone.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	98395
citation_title	Classification, angioarchitecture and treatment outcomes of medullary bridging vein-draining dural arteriovenous fistulas in the foramen magnum region: a multicenter study
citation_author	Ozaki, Tomohiko
	Hiramatsu, Masafumi
	Nakamura, Hajime
	Niimi, Yasunari
	Tanoue, Shuichi
	Mizutani, Katsuhiro
	Nakahara, Ichiro
	Matsumaru, Yuji
	Matsumoto, Yasushi
	Krings, Timo
	Fujinaka, Toshiyuki
citation_publisher	Springer Science and Business Media Deutschland GmbH
citation_language	英語
citation_date	2024-10-12
citation_journal_title	Neuroradiology
citation_volume	67
citation_issue	1
citation_firstpage	213
citation_lastpage	225
citation_doi	https://doi.org/10.1007/s00234-024-03478-w
citation_public_url	https://hdl.handle.net/11094/98395

Classification, angioarchitecture and treatment outcomes of medullary bridging vein-draining dural arteriovenous fistulas in the foramen magnum region: a multicenter study

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