Endovascular Treatment of Vertebro-Vertebral Arteriovenous Fistula: A Report of Three Cases and Literature Review. Issue 3 (1st June 2013)

• Record Type: Journal Article
• Authors: Briganti, F.; Tedeschi, E.; Leone, G.; Marseglia, M.; Cicala, D.; Giamundo, M.; Napoli, M.; Caranci, F.
• Is Part Of: Neuroradiology journal. Volume 26:Issue 3(2013)
• Page Start: 339
• Page End: 346
• Publication Date: 2013-06-01
• Subjects: arteriovenous fistula -- vertebral artery -- embolization -- detachable coils -- detachable balloon; Nervous system -- Radiography -- Periodicals; Neuroradiography -- Periodicals; Electronic journals; 616.804757
• DOI: 10.1177/197140091302600315
• Languages: English
• ISSNs: 1971-4009

Abstract

This report describes endovascular approaches for occlusion of vertebro-vertebral arteriovenous fistula (W-AVF) in a series of three cases and a review of the literature. Complete neuroimaging assessment, including CT, MR and DSA was performed in three patients (two female, one male) with W-AVF. Based on DSA findings, the W-AVF were occluded by endovascular positioning of detachable balloons (case 1), coils (case 2), or a combination of both (case 3) with parent artery patency in two out of three cases. In this small series, endovascular techniques for occlusion of W-AVF were safe and effective methods of treatment. To date, there are no guidelines on the best treatment for W-AVF. Detachable balloons, endovascular coiling, combined embolization procedures could all be considered well-tolerated treatments.