Direct Vertebral Artery Puncture During Open Surgery for the Endovascular Treatment of a Recurrent Vertebro-Vertebral Arteriovenous Fistula

2021 ◽  
Vol 146 ◽  
pp. 166-170
Author(s):  
Mizuka Ikezawa ◽  
Takashi Izumi ◽  
Masahiro Nishihori ◽  
Yoshitaka Nagashima ◽  
Yusuke Nishimura ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Open Surgery ◽  
Vertebral Arteriovenous Fistula

scholarly journals Anatomically Based Approach for Endovascular Treatment of Vertebro-Vertebral Arteriovenous Fistula

2014 ◽  
Vol 20 (6) ◽  
pp. 766-773 ◽  
Author(s):  
Chih-Hua Yeh ◽  
Yao-Liang Chen ◽  
Yi-Ming Wu ◽  
Yu-Chieh Huang ◽  
Ho-Fai Wong
Keyword(s):  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Covered Stent ◽  
Treatment Modalities ◽  
Covered Stents ◽  
Vertebral Arteriovenous Fistula ◽  
Fistula Recurrence ◽  
Detachable Coils ◽  
Extracranial Vertebral Artery

Vertebro-vertebral arteriovenous fistula (VV-AVF) is a rare vascular disorder with an abnormal high-flow shunt between the extracranial vertebral artery (VA), its muscular or radicular branches and an adjacent vein. To date, there are no guidelines on the best treatment for VV-AVF. We present our experience of VV-AVF treatment with covered stents in three patients and detachable coils in two patients. One patient with fistula at the V3 segment had rapid fistula recurrence one week after covered stent treatment. The possible causes of failed treatment in this patient are discussed. The currently available treatment modalities for VV-AVF are also summarized after a literature review. At the end of this article, we propose a new concept of anatomically based approach for endovascular treatment of VV-AVF. Fistula in the V1-2 segments of vertebral artery could be treated safely and effectively by covered stent with the benefit of preserving VA patency. Embolization with variable embolizers should be considered first for fistula in the V3 segment because of the tortuous course and flexibility of the VA in this segment.

Traumatic arteriovenous fistula of the vertebral artery with spinal cord symptoms

1977 ◽  
Vol 46 (5) ◽  
pp. 681-687 ◽  
Author(s):  
Chikao Nagashima ◽  
Takashi Iwasaki ◽  
Seiichi Kawanuma ◽  
Arata Sakaguchi ◽  
Akira Kamisasa ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Rapid Improvement ◽  
Direct Closure ◽  
Content Type ◽  
Vertebral Arteriovenous Fistula ◽  
Fine Print

✓ The authors report a case of a traumatic vertebral arteriovenous fistula with spinal cord symptoms. Direct closure of the fistula was followed by rapid improvement.

Mild trauma causing cervical fracture through transverse foramen leading to a vertebral arteriovenous fistula

2021 ◽  
Vol 14 (6) ◽  
pp. e241735
Author(s):  
Mikkel Schou Andersen ◽  
Willy Krone ◽  
Sune Munthe
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Digital Subtraction ◽  
Trauma Mechanism ◽  
Transverse Foramen ◽  
Cervical Fractures ◽  
Vertebral Arteriovenous Fistula ◽  
Ct Angiogram

Vertebral arteriovenous fistula (vAVF) is an uncommon vascular disease defined as abnormal connections between the vertebral artery or its branches extracranially with nearby venous structures. This case report outlines the case of a man in his late 70s presenting with C1–C3 fractures after a mild trauma falling down a small staircase. CT angiogram (CTA) gave suspicion of vertebral artery dissection and pseudoaneurysm; however, digital subtraction angiography revealed a fracture-induced vAVF successfully treated endovascularly with coils. In conclusion, cervical fractures involving the transverse foramen regardless of trauma mechanism should result in a CTA. Endovascular treatment with ipsilateral vertebral artery closure is preferred due to its feasibility and safety.

Excision of a congenital suboccipital vertebral arteriovenous fistula

1972 ◽  
Vol 37 (4) ◽  
pp. 452-456 ◽  
Author(s):  
Albert D. Bartal ◽  
Morris J. Levy
Keyword(s):  
Arteriovenous Malformation ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Surgical Approach ◽  
Left Ventricular ◽  
Content Type ◽  
Vertebral Arteriovenous Fistula ◽  
Cardiac Enlargement ◽  
Major Consideration ◽  
Fine Print

✓ This report describes the successful excision of a congenital vertebral arteriovenous malformation in an 8-year-old child. There was mild effort dyspnea and left ventricular cardiac enlargement; a left-to-right vertebral artery steal across the basilar trifurcation was a major consideration in planning the surgical approach.

Acute Traumatic Vertebral Arteriovenous Fistula: Balloon Occlusion with the Use of a Contralateral Approach

Neurosurgery ◽  
1984 ◽  
Vol 14 (2) ◽  
pp. 225-229 ◽  
Author(s):  
Richard E. Miller ◽  
Grant B. Hieshima ◽  
Steven L. Giannotta ◽  
Verity S. Grinnell ◽  
Mark C. Mehringer ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
False Aneurysm ◽  
Distal Segment ◽  
Balloon Occlusion ◽  
Left Vertebral Artery ◽  
Contralateral Approach ◽  
Endovascular Occlusion ◽  
Vertebral Arteriovenous Fistula

Abstract A traumatic fistula of the left vertebral artery to vertebral and epidural veins with an expanding suboccipital false aneurysm was trapped by endovascular occlusion with detachable balloons. The lesion was not amenable to treatment using the left vertebral artery alone for access. Distal trapping was accomplished by catheterizing the (contralateral) right vertebral artery and placing the balloon retrograde into the distal segment of the left vertebral artery. This maneuver extends the range of vertebral artery lesions for which detachable balloons, either alone or as an adjunct to operation, can be used.

Recurrent Vertebral Arteriovenous Fistula after Surgical Repair: Treatment with a Self-Expanding Stent-Graft

2003 ◽  
Vol 10 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Ralf Surber ◽  
Gerald S. Werner ◽  
Tina U. Cohnert ◽  
Thorsten Wahlers ◽  
Hans R. Figulla
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Venous Catheter ◽  
Vertebral Arteriovenous Fistula ◽  
Initial Surgery ◽  
Invasive Method ◽  
Stent Graft Repair ◽  
The Right

Purpose: To describe successful endovascular repair of a recurrent vertebral arteriovenous fistula (AVF) after surgical correction. Case Report: A 42-year-old woman presented with recurrent dizziness, nausea, and headaches. A loud bruit in the right neck was present. Central venous catheter insertion had been done 1 year previously, creating an angiographically documented right-sided vertebral AVF that was successfully excluded by a surgical procedure. Four weeks later, the AVF reappeared. Successful endovascular repair with a self-expanding stent-graft was performed. Follow-up over 12 months was uneventful, with a patent vertebral artery and no recurrence of symptoms. Conclusions: Endovascular stent-graft repair is feasible and offers a therapeutic alternative in the treatment of vertebral AVF, in particular for recurrence after initial surgery. This minimally invasive method may become the treatment of choice in the management of such lesions, preserving patency of the vertebral artery.

scholarly journals Vertebral Arteriovenous Fistula: An Unwelcome Thrill

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Matthew K. Edwards ◽  
Erica N. Christenson ◽  
Brian M. Corliss ◽  
Adam J. Polifka ◽  
Brandon R. Allen
Keyword(s):  
Emergency Department ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Vascular Lesions ◽  
Pulsatile Tinnitus ◽  
Endovascular Techniques ◽  
Av Fistula ◽  
Vertebral Arteriovenous Fistula

Cervical vertebral AV fistulae are uncommon vascular lesions involving abnormal communication between the extradural vertebral artery and surrounding venous structures. We examine the case of a female evaluated in the emergency department with a vertebral AV fistula presenting classically as pulsatile tinnitus and later successfully treated with standard endovascular techniques. A discussion on the etiology, pathophysiology, and management of vertebral AV fistulae follows.

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