Work

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

Year: 2025

Type: article

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.

Source: Acta Neurochirurgica

DOI: 10.1007/s00701-025-06493-9

Authors: Sergio García-García, Hrvoje Barić, Anni Pohjola, Martin Lehecka

Institutions: Helsinki University Hospital, University Hospital Centre Zagreb

Language: English

Topic: Vascular Malformations Diagnosis and Treatment

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,990