Endovascular treatment is an established option for cranial dural arteriovenous fistulas (dAVFs), and its efficacy has been demonstrated in single-center and multicenter cohorts. In this study, we critically evaluate our single-center experience with a standardized endovascular treatment strategy, assessing angiographic success, recurrence, safety, and long-term outcomes.
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists; this neurosurgical outcomes study addresses a rare vascular condition peripheral to routine audiology practice.
Dural arteriovenous fistulas can cause pulsatile tinnitus and hearing changes, so improved endovascular treatment outcomes are indirectly relevant to audiologists who encounter these patients in a multidisciplinary context.
- 01Single-center German cohort study reporting long-term outcomes after endovascular treatment of cranial dural AVFs.
- 02Treatment approach was tailored based on angioarchitecture (the specific structural pattern of abnormal blood vessels).
- 03Published in World Neurosurgery (2026); retrospective single-center design limits generalizability.
- 04Pulsatile tinnitus is a common presenting symptom of dural AVFs, giving this paper indirect audiology relevance.
- 05Results may inform multidisciplinary referral pathways for patients with pulsatile tinnitus of vascular origin.
Angioarchitecture-based endovascular treatment of cranial dural AVFs yields favorable long-term outcomes.
studypartially supported- PMID
- 42951068
- DOI
- 10.1016/j.wneu.2026.125454.
- Journal
- World Neurosurgery
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients with cranial dural arteriovenous fistulas treated at a single German center
- Intervention
- Angioarchitecture-based endovascular embolization
Primary outcomes
Long-term clinical and angiographic outcomes after endovascular treatment