{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T14:56:16Z","timestamp":1781794576574,"version":"3.54.5"},"reference-count":60,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Tentorial dural arteriovenous fistulas (TDAVFs) are uncommon, high-risk intracranial vascular malformations characterized by severe clinical courses. Transarterial embolization (TAE) has been widely recognized as the primary treatment modality. Nevertheless, limited data exist regarding the safety and efficacy of transvenous embolization (TVE). The current study reports a comparative analysis of TAE and TVE in a consecutive TDAVF cohort, providing detailed insights into both clinical and angiographic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A retrospective cohort analysis was conducted on 53 patients with TDAVFs treated at the authors\u2019 institution between January 2016 and March 2024. Patients were categorized into TAE and TVE groups based on the specific procedure performed on each individual.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 53 patients who underwent 59 procedures were included in this study. Onyx served as the exclusive liquid embolic agent in all procedures. TVE demonstrated superior immediate complete occlusion rates compared to TAE (92.3% vs 56.8%, p = 0.04), with sustained long-term occlusion at follow-up (100% vs 65.7%, p = 0.04). Complication rates were comparable (15.4% for TVE vs 6.8% for TAE, p = 0.69), with no permanent neurological deficits. Multivariate analysis identified TVE (adjusted OR 0.096, p = 0.048) and fewer feeding arteries (adjusted OR 0.688, p = 0.009) as independent predictors of immediate occlusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>In TDAVFs characterized by accessible venous routes, TVE exhibits superior angiographic outcomes compared to TAE, while maintaining comparable complication profiles. The wire-loop technique and dual-microcatheter strategy are essential for achieving reliable venous access. Although TAE remains effective for the majority of TDAVFs, TVE may be a promising initial strategy for lesions with favorable venous accessibility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2025.9.jns251431","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T01:40:10Z","timestamp":1769218810000},"page":"1297-1306","source":"Crossref","is-referenced-by-count":1,"title":["Transvenous approach: a promising strategy for endovascular treatment of tentorial dural arteriovenous fistulas"],"prefix":"10.3171","volume":"144","author":[{"given":"Si","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University;"},{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"Department of Neurosurgery, 72nd Group Army Hospital, Huzhou University;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhijie","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University;"},{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingwei","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University;"},{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guoqiang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University;"},{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Liu","sequence":"additional","affiliation":[{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"},{"name":"Neuroscience Intensive Care Unit, Second Affiliated Hospital, School of Medicine, Zhejiang University; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xudan","family":"Shi","sequence":"additional","affiliation":[{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"},{"name":"Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenhan","family":"Ling","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University;"},{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianyi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University;"},{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University;"},{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cong","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University;"},{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University;"},{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University;"},{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University;"},{"name":"Clinical Research Center for Neurological Diseases of Zhejiang Province;"},{"name":"State Key Laboratory of Transvascular Implantation Devices;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"10","key":"b1","series-title":"Stroke","first-page":"e610","article-title":"Outcome following hemorrhage from cranial dural arteriovenous fistulae: analysis of the multicenter international CONDOR registry","volume":"52","author":"Koch MJ","year":"2021","unstructured":"Koch MJ, Stapleton CJ, Guniganti R,  Outcome following hemorrhage from cranial dural arteriovenous fistulae: analysis of the multicenter international CONDOR registry. Stroke. 2021;52(10):e610\u2013e613."},{"issue":"8","key":"b2","series-title":"Article in Japanese. Brain Nerve","first-page":"883","article-title":"Epidemiology and etiology of dural arteriovenous fistula","volume":"60","author":"Satomi J","year":"2008","unstructured":"Satomi J, Satoh K. Epidemiology and etiology of dural arteriovenous fistula. Article in Japanese. Brain Nerve. 2008;60(8):883\u2013886."},{"key":"b3","series-title":"Neurosurgery","first-page":"S42","article-title":"Endovascular treatment of intracranial dural arteriovenous fistulas","volume":"74 Suppl 1","author":"Vanlandingham M","year":"2014","unstructured":"Vanlandingham M, Fox B, Hoit D, Elijovich L, Arthur AS. Endovascular treatment of intracranial dural arteriovenous fistulas. 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