Adaptive Multimodal Management of Tentorial Dural Arteriovenous Fistula: Cure Achieved via Transvenous Embolization following Transarterial Embolization and Stereotactic Radiosurgery: A Case Report

The direct surgical interruption of the draining vein has traditionally been performed for TDAVF with a large venous varix. However, when adjacent normal veins preclude the disconnection and an accessible dural sinus is not present, TVE is not the preferred 1st-line option. TVE via the varix or deep veins, combined with flow reduction, may still be a viable alternative for these cases when other treatments are not feasible.