Role of Three-Dimensional Rotational Angiography in the Treatment of Spinal Dural Arteriovenous Fistulas

Abstract

Spinal dural arteriovenous fistulas (AVFs), being the most commonly encountered spinal vascular malformations, result in considerable morbidity with progressive spinal cord symptoms. A selective spinal digital subtraction angiography (DSA) is needed to confirm the diagnosis, to better evaluate the fine vascular structures and to plan therapy. With the introduction of three-dimensional rotational angiography (3D-RA), the information available for the treating physician has vastly increased. In the following article, we present a case series of four patients, in which the advantages of 3D-RA over the conventional biplane projections could be observed clearly.