scholarly journals Uterine Arteriovenous Fistula with Concomitant Pelvic Varicocele: Endovascular Embolization with Onyx-18®

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Francesco Giurazza ◽  
Fabio Corvino ◽  
Andrea Paladini ◽  
Antonio Borzelli ◽  
Domenico Scognamiglio ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Clinical Success ◽  
Young Patients ◽  
Endovascular Embolization ◽  
Childbearing Age ◽  
Arteriovenous Fistulas ◽  
Uterine Arteries ◽  
Life Threatening ◽  
History Of ◽  
Endovascular Approach

Uterine arteriovenous fistulas are rare and acquired causes of life-threatening vaginal bleeding. They usually present with intermittent menometrorrhagia in young patients in childbearing age with history of gynecological procedures on uterus. Traditional management is hysterectomy; endovascular embolization represents nowadays an alternative strategy for patients wishing to preserve fertility. Here, the endovascular approach to a 29-year-old woman affected by severe menometrorrhagia caused by a uterine arteriovenous fistula with a concomitant pelvic varicocele is reported; a bilateral uterine arteries embolization with Onyx-18 (ev3, Irvine, CA, USA) has successfully resolved the fistula with clinical success.

scholarly journals Nongalenic arteriovenous fistulas: history of treatment and technology

2006 ◽  
Vol 20 (6) ◽  
pp. 1-8 ◽  
Author(s):  
Kristen Upchurch ◽  
Lei Feng ◽  
Gary R. Duckwiler ◽  
John G. Frazee ◽  
Neil A. Martin ◽  
...  
Keyword(s):  
Open Surgery ◽  
Interventional Neuroradiology ◽  
Endovascular Embolization ◽  
High Flow ◽  
Vascular Lesions ◽  
Arteriovenous Fistulas ◽  
The Past ◽  
Technological Developments ◽  
History Of ◽  
Endovascular Technology

✓ Nongalenic cerebral arteriovenous fistulas (AVFs) are uncommon, high-flow vascular lesions first treated by Walter Dandy and his colleagues by using open surgery with ligation of the feeding artery. Due to advances in endovascular technology over the past four decades that make possible the control of high flow in AVFs, treatment has evolved from the sole option of surgery to include the alternative or adjunct option of endovascular embolization. The authors of this review discuss the history of nongalenic AVF treatment, including techniques of both surgery and interventional neuroradiology and the technological developments underlying them.

scholarly journals Spinal Arteriovenous Fistula, A Manifestation of Hereditary Hemorrhagic Telangiectasia: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 417-420
Author(s):  
Jodi Spangler ◽  
Bjorn Watsjold ◽  
Jonathan Ilgen
Keyword(s):  
Case Report ◽  
Arteriovenous Fistula ◽  
Hereditary Hemorrhagic Telangiectasia ◽  
Early Recognition ◽  
Endovascular Embolization ◽  
High Morbidity ◽  
Autosomal Dominant Disorder ◽  
Arteriovenous Fistulas ◽  
Spinal Arteriovenous Fistula ◽  
The Right

Introduction: Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disorder characterized by arteriovenous malformations (AVM). HHT can have neurological manifestations. Case Report: A 32-year-old woman with a history of HHT presented to the emergency department with acute partial paralysis of the right leg, urinary retention, and right-sided back and hip pain. Magnetic resonance imaging of the spine demonstrated multiple, dilated blood vessels along the cervical spine, diffuse AVMs in the lumbar and thoracic spine, and a new arteriovenous fistula at the twelfth thoracic (T12) vertebral level. Her symptoms improved after endovascular embolization of the fistula. Conclusion: Spinal AVMs are thought to be more prevalent in patients with HHT. Given the high morbidity of arteriovenous fistulas, early recognition and intervention are critical.

Pediatric perimedullary arteriovenous fistula of the conus medullaris supplied by the artery of Desproges-Gotteron

2013 ◽  
Vol 11 (4) ◽  
pp. 426-430 ◽  
Author(s):  
José E. Cohen ◽  
Shlomo Constantini ◽  
John M. Gomori ◽  
Mony Benifla ◽  
Eyal Itshayek
Keyword(s):  
Arteriovenous Fistula ◽  
Sudden Onset ◽  
Conus Medullaris ◽  
Endovascular Embolization ◽  
Pediatric Case ◽  
Liquid Embolic ◽  
Internal Iliac ◽  
History Of ◽  
Neurological Presentation ◽  
Fistula Site

The cone artery, or artery of Desproges-Gotteron, is sometimes seen arising from the internal iliac artery. The authors describe a case of a symptomatic perimedullary arteriovenous fistula (AVF) of the conus medullaris in an 8-year-old boy who presented with a protracted history of urinary difficulty and severe sudden-onset right lumbosciatic pain that evolved to severe paraparesis with compromise of the sphincter muscles. The spinal AVF, which was supplied by the cone artery and a thoracic radiculomedullary artery that joined at the fistula site in a large partially thrombosed varix, was completely occluded with Onyx liquid embolic. The patient's clinical condition improved rapidly after embolization. As shown in this patient, urgent endovascular embolization of spinal AVFs can be very rewarding, even in patients with severe neurological presentation. The artery of Desproges-Gotteron appears to be a rare arterial variation. To the authors' knowledge, this is the first pediatric case of a conal AVF supplied by this artery.

scholarly journals Perceptions of an Implantable Cardioverter-Defibrillator: A Qualitative Study of Families with a History of Sudden, Life-Threatening Cardiac Events, and Recommendations to Improve Care

2016 ◽  
Vol 29 (1) ◽  
pp. 3 ◽  
Author(s):  
Jarrett Linder ◽  
Nadia Hidayatallah ◽  
Marina Stolerman ◽  
Thomas V. McDonald ◽  
Robert Marion ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Sudden Death ◽  
Research Question ◽  
Alternative Therapy ◽  
Young Patients ◽  
Implantable Cardioverter Defibrillators ◽  
Cardiac Events ◽  
Life Threatening ◽  
History Of ◽  
Communication Breakdowns

Objective: To identify major concerns associated with implantable cardioverter-defibrillators (ICDs) and to pro- vide recommendations to adult and pediatric physicians involved in the care of patients with ICDs. Background: Cardiac ion channelopathies are a well-recognized cause of sudden cardiac death in infants, children, adolescents, and young adults. ICDs are effective in preventing sudden death from fatal arrhythmias in patients with known cardiac channelopathies. There is a paucity of research on the effect of ICDs on quality of life in patients with cardiac channelopathy diagnoses, especially young patients. Methods: A qualitative study interviewing patients and families affected by inherited arrhythmias was conducted. Fifty participants with personal or family histories of cardiac events or sudden death were interviewed individually or in focus groups by clinical psychologists. All interviews were transcribed verbatim and then analyzed and coded based on current qualitative research theory to identify themes related to the research question. Twenty-four participants discussed ICDs in their interviews. Results: Participants reported concerns about ICDs, and these concerns were categorized into six themes: (1) comprehension and physician-patient communication; (2) anxiety; (3) restrictions and fallacies; (4) complications; (5) utility; and (6) alternative therapy. Participants noted communication breakdowns between providers and their colleagues, and between providers and their patients. Participants and their families experienced many different forms of anxiety, including worry about the aesthetics of the ICDs and fears of being shocked. Multiple restrictions, fallacies, and complications were also cited. Conclusion: Interview themes were used to formulate recommendations for counseling and educating patients with ICDs. 

Resection of puncture site necrosis over an arteriovenous fistula: Endoclamp use for preservation of cannulation sites

2018 ◽  
Vol 19 (3) ◽  
pp. 316-318 ◽  
Author(s):  
Alexandros Mallios ◽  
William Jennings ◽  
Benoit Boura ◽  
Alessandro Costanzo ◽  
Myriam Combes
Keyword(s):  
Arteriovenous Fistula ◽  
Skin Necrosis ◽  
Vascular Control ◽  
Puncture Site ◽  
Arteriovenous Fistulas ◽  
Angioplasty Balloon ◽  
Cannulation Site ◽  
Extensive Calcification ◽  
Life Threatening ◽  
Surrounding Skin

Skin necrosis overlying an arteriovenous fistula at the cannulation site is a common and potentially life-threatening problem, often associated with underlying aneurysm formation. Arteriovenous fistula-skin necrosis generally requires resection of surrounding skin margins and the underlying aneurysmal vessel wall, allowing repair with healthy tissue of the arteriovenous fistula in addition to closure of soft tissue and skin. In patients with insufficient fistula length, salvage of these arteriovenous fistulas may result in difficult or insurmountable cannulation issues leading to attempts at one-needle cannulation dialysis or, most often, catheter placement. Pre-existing stents or extensive calcification may add to the technical challenge of gaining proximal and/or distal control. We describe our technique for dealing with such arteriovenous fistula-skin necrosis lesions utilizing endo-occlusion with an angioplasty balloon for vascular control, allowing a limited incision and tissue resection with preservation of arteriovenous fistula cannulation length.

Endovascular embolization of a traumatic arteriovenous fistula of the superficial temporal artery

2005 ◽  
Vol 119 (4) ◽  
pp. 322-324 ◽  
Author(s):  
O J H Whiteside ◽  
P Monksfield ◽  
N B Steventon ◽  
J Byrne ◽  
M J Burton
Keyword(s):  
Surgical Treatment ◽  
Arteriovenous Fistula ◽  
Superficial Temporal Artery ◽  
Rare Condition ◽  
Temporal Artery ◽  
Endovascular Embolization ◽  
History Of

Arteriovenous fistula of the superficial temporal artery is a rare condition most commonly caused by trauma. Traditional surgical treatment has been superseded by endovascular embolization. We present the case of a 40year-old man with a traumatic arteriovenous fistula of the superficial temporal artery who was treated by endovascular embolization. The advantages of this approach are discussed, along with a brief history of the condition

Emergent Hybrid Treatment of a Ruptured Scalp Arteriovenous Fistula with Eyelid involvement: Technical Note

2021 ◽  
Author(s):  
Juan Felipe Abaunza-Camacho ◽  
David Vergara-Garcia ◽  
Francisco Perez ◽  
Camilo Benavides ◽  
Alberto Caballero ◽  
...  
Keyword(s):  
Hypovolemic Shock ◽  
Endovascular Embolization ◽  
Technical Note ◽  
Medical Emergency ◽  
Severe Bleeding ◽  
Acute Anemia ◽  
Arteriovenous Fistulas ◽  
Life Threatening ◽  
Type C ◽  
Open Surgical Approach

Abstract Background Scalp arteriovenous fistulas (AVFs) are a rare vascular disease usually presenting as a progressively increasing pulsating mass in the scalp. These lesions can be associated with mild to severe complications, including congestive heart failure. If ruptures, this pathology constitutes a life-threatening medical emergency because of its potential to cause severe bleeding and acute anemia. Methods We describe the case of a young woman with a ruptured Yokouchi type C scalp AVF with eyelid involvement. Results The patient presented with hypovolemic shock and acute anemia due to severe bleeding from the lesion. Emergent treatment through a combined endovascular and open surgical approach was required to stop bleeding and stabilize the patient. Conclusions Emergent and effective treatment is required to stop bleeding when a scalp AVF ruptures. A combination of endovascular embolization and microsurgical excision of the shunt is a treatment option.

Lower vertebral-epidural spinal arteriovenous fistulas: a unique subtype of vertebrovertebral arteriovenous fistula, treatable with coil and Penumbra Occlusion Device embolization

2015 ◽  
Vol 8 (6) ◽  
pp. 643-647 ◽  
Author(s):  
Ramsey Ashour ◽  
Darren B Orbach
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Venous Drainage ◽  
Venous Plexus ◽  
Arteriovenous Fistulas ◽  
Spinal Arteriovenous Fistula ◽  
Occlusion Device ◽  
Device Embolization ◽  
Endovascular Approach ◽  
Spinal Epidural

A vertebral-epidural spinal arteriovenous fistula (AVF) is an abnormal arteriovenous shunt connecting the vertebral artery to the spinal epidural venous plexus, and may occur spontaneously or secondary to a variety of causes. These unique lesions are uncommon in adults and rarer still in children. Previous reports have grouped together a heterogeneous collection of such arteriovenous lesions, including arterial contributions from the upper and lower vertebral artery, with venous drainage into a variety of spinal and paraspinal collectors. Here, through two cases, we delineate a distinct entity, the lower vertebral-to-epidural AVF. The salient clinical and anatomic features are summarized and contextualized within the broader constellation of vertebrovertebral AVF, the utility of a transarterial intravenous/retrograde intra-arterial endovascular approach is highlighted, and a new use of the Penumbra Occlusion Device (Penumbra Inc) for this purpose is reported.

scholarly journals A Case of Superficial Femoral Arteriovenous Fistula and Severe Venous Stasis Ulceration, Managed with an Iliac Extender Prosthesis

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Nicole Ilonzo ◽  
Selena Goss ◽  
Chun Yang ◽  
Michael Dudkiewicz
Keyword(s):  
Heart Failure ◽  
Arteriovenous Fistula ◽  
Endovascular Repair ◽  
Gunshot Wound ◽  
Venous Insufficiency ◽  
Venous Stasis ◽  
Arteriovenous Fistulas ◽  
History Of ◽  
Surgical Options ◽  
Steal Syndrome

Most femoral artery arteriovenous fistulas occur as a result of percutaneous interventions. However, arteriovenous fistulas can occur in the setting of trauma, with resultant consequences such as heart failure, steal syndrome, or venous insufficiency. Indications for endovascular repair in this setting are limited to patients who are at too high risk for anesthesia, have a hostile groin, or would not survive significant bleeding. We report the case of a traumatic femoral arteriovenous fistula, causing severe venous insufficiency and arteriomegaly, in a 58-year-old male, with history of traumatic gunshot wound complicated by popliteal DVT. Surgical options for arteriovenous fistula include open and endovascular repair but this patient’s fistula was more suitable for endovascular repair for reasons that will be discussed.

Embolization of Spinal Dural Arteriovenous Fistula via the Retrocorporeal Artery

2013 ◽  
Vol 73 (2) ◽  
pp. onsE283-onsE286
Author(s):  
Benjamin Gory ◽  
Suzana Saleme ◽  
David Ayoub ◽  
Aymeric Rouchaud ◽  
Tomaz Seruga ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Primary Treatment ◽  
Spinal Dural Arteriovenous Fistula ◽  
Safe Alternative ◽  
Alternative Approach ◽  
History Of ◽  
Endovascular Approach ◽  
Proximal Occlusion

Abstract BACKGROUND AND IMPORTANCE: The goal of spinal dural arteriovenous fistula (DAVF) treatment is to permanently occlude the proximal draining vein and the fistula itself, which can be achieved by open surgery or endovascular treatment. The endovascular approach is currently the primary treatment, but it requires the presence of an access as close to the site of the fistula as possible. This case illustrates that the retrocorporeal artery may be an alternative option in case of previous embolization failure with proximal occlusion of the radicular arteries. CLINICAL PRESENTATION: A 54-year-old man presented with an 18-month history of progressive paraparesis secondary to right L2 spinal DAVF. The first endovascular treatment failed to achieve occlusion of the fistula via the ipsilateral L2 and L3 radicular arteries. Given the proximal occlusion of these feeders during the first embolization, the dilated retrocorporeal arteries were approached via the contralateral L2 and L3 radicular arteries. Complete occlusion of the fistula was achieved with Onyx in a single session with progressive improvement of preoperative neurological deficit. CONCLUSION: The retrocorporeal artery may provide a safe alternative approach to spinal DAVFs in cases in which a conventional endovascular approach failed, thus avoiding invasive surgical treatment.

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