TY - JOUR T1 - Endovascular Management of Intracranial Dural Arteriovenous Fistulas: Transarterial Approach JF - American Journal of Neuroradiology JO - Am. J. Neuroradiol. DO - 10.3174/ajnr.A7296 AU - K.D. Bhatia AU - H. Lee AU - H. Kortman AU - J. Klostranec AU - W. Guest AU - T. Wälchli AU - I. Radovanovic AU - T. Krings AU - V.M. Pereira Y1 - 2021/10/07 UR - http://www.ajnr.org/content/early/2021/10/07/ajnr.A7296.abstract N2 - SUMMARY: In this second of 3 review articles on the endovascular management of intracranial dural AVFs, we discuss transarterial treatment approaches. The treatment goal is to occlude the fistulous point, including the most distal portion of the arterial supply together with the most proximal portion of the draining vein (ie, the “foot” of the vein), which can be accomplished with liquid embolic agents via transarterial access. Anatomic factors to consider when assessing the safety and efficacy of a transarterial approach using liquid embolic agents include location, angioarchitecture, and proximity of arterial feeders to both the vasa nervosum of adjacent cranial nerves and the external carotid–internal carotid/vertebral artery anastomoses. Anatomic locations typically favorable for transarterial approaches include but are not limited to the transverse/sigmoid sinus, cerebral convexity, and superior sagittal sinus. In this review article, we discuss the technical approaches, outcomes, potential complications, and complication avoidance strategies for transarterial embolization.dAVFdural AVFEC-ICexternal carotid to internal carotidEVOHethylene-vinyl alcohol copolymerTAEtransarterial embolizationTVEtransvenous embolization ER -