Dural Arteriovenous Fistula Treatment in India
About Dural Arteriovenous Fistula
Key Highlights
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Minimally invasive endovascular approach often avoids open brain surgery.Effectively eliminates the abnormal connection to prevent life-threatening hemorrhage.Can significantly reduce or resolve symptoms like pulsatile tinnitus, headaches, and vision problems.Performed by highly specialized neurovascular surgeons and interventional neuroradiologists.Uses advanced imaging guidance for precise, targeted treatment.
Who is this surgery for?
- Presence of a dAVF with cortical venous drainage (CVD), which carries a high risk of hemorrhage.
- Progressive neurological deficits such as weakness, numbness, or difficulty with speech.
- Intractable symptoms like pulsatile tinnitus (whooshing sound in the ear) or vision changes.
- Evidence of venous hypertension or congestion in the brain or spinal cord.
- Prior hemorrhage (bleeding) from the dAVF.
How to prepare
- Comprehensive diagnostic imaging, including cerebral angiography (the gold standard), MRI, or MRA.
- Complete neurological examination and review of medical history.
- Pre-operative blood tests and assessment of kidney function (for contrast dye).
- Discussion of medications; may need to stop blood thinners (anticoagulants/antiplatelets) days before.
- Fasting for several hours prior to the procedure as instructed.
Risks & possible complications
- Stroke or transient ischemic attack (TIA) from vessel injury or clot.
- Bleeding or hematoma at the catheter insertion site (usually in the groin).
- Infection, though rare with sterile technique.
- Allergic reaction to the contrast dye used during imaging.
- Incomplete occlusion of the fistula, requiring further treatment.
- Rarely, new neurological deficits if normal blood vessels are affected.
- Kidney injury from contrast dye in patients with pre-existing conditions.
Recovery & hospital stay
- Initial monitoring in a recovery area, often requiring 4-6 hours of bed rest to prevent bleeding from the access site.
- Hospital stay typically for observation, managing pain, and monitoring neurological status.
- Instructions to avoid strenuous activity, heavy lifting, and bending for 1-2 weeks.
- Follow-up imaging (like an MRA or angiography) is scheduled to confirm the fistula is closed.
- Gradual return to normal activities as approved by the surgical team, with ongoing neurological assessments.
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Typical hospital stay:
2-4 days
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Expected recovery time:
2-4 weeks for initial recovery; 3-6 months for full stabilization
Frequently Asked Questions
If you are considering dural arteriovenous fistula in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with vascular surgery departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform dural arteriovenous fistula. MediFyr helps you compare vascular surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for dural arteriovenous fistula compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 350 Thousand – 800 Thousand | 2-4 days | ~ 2-4 weeks for initial recovery; 3-6 months for full stabilization | Know More |
| Turkey | TRY 1.23 Million – 2.8 Million | 2-4 days | ~ 2-4 weeks for initial recovery; 3-6 months for full stabilization | Know More |
Sara Khan, a 42-year-old high school...
Sara Khan, a 42-year-old high school biology teacher and mother of two, had always been active and healthy. For six months, she experienced a persistent, pulsatile whooshing sound in her right ear that synced with her heartbeat, especially noticeable at night. It was accompanied by increasing headaches and episodes of dizziness during her classes. Initially dismissing it as stress or an ear infection, she grew concerned when her concentration began to falter. An MRI ordered by her neurologist revealed a dural arteriovenous fistula (dAVF) near her right ear. The vascular surgeon, Dr. Evans, explained that this abnormal connection between an artery and vein in the dura mater was causing the tinnitus and posed a risk of hemorrhage. He recommended an endovascular embolization, a minimally invasive procedure to block the fistula. Sara was terrified of brain surgery but trusted Dr. Evans's calm explanation. The procedure itself, under sedation, was painless. The recovery in the hospital was smooth, with the whooshing sound gone immediately upon waking. Within a week, her energy returned and the headaches vanished. Emotionally, she journeyed from fear and frustration over the intrusive symptoms to profound relief and gratitude. She felt like herself again, able to fully engage with her family and students without the constant distraction and underlying anxiety.
Vascular surgeons for Dural Arteriovenous Fistula
Explore experienced vascular surgeons who regularly perform dural arteriovenous fistula and provide pre- and post-operative care in India.
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