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.

Successful Stent-Graft Repair of a Vertebrojugular Arteriovenous Fistula

2001 ◽  
Vol 8 (5) ◽  
pp. 495-500 ◽  
Author(s):  
Ralph I. Rückert ◽  
Wolfgang Rutsch ◽  
Sergej Filimonow ◽  
Rüdiger Lehmann
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Stent Graft ◽  
Jugular Vein ◽  
Transcatheter Embolization ◽  
Invasive Treatment ◽  
Femoral Access ◽  
Complete Obliteration ◽  
Stent Graft Repair ◽  
The Right

Purpose: To describe an apparently unreported endovascular means of treating a vertebral arteriovenous fistula (AVF) using a small-caliber stent-graft to permanently reconstruct the involved vessels. Case Report: A 13-year-old girl presented with tinnitus caused by a high-flow AVF between the right extracranial vertebral artery and deep jugular vein arising from repeated internal jugular vein catheterization. A 4-mm-diameter balloon-expandable Jostent coronary stent-graft was placed in the vertebral artery via a percutaneous femoral access, with immediate and complete obliteration of the AVF and resolution of the tinnitus. Follow-up duplex ultrasonography at 15 months demonstrated patency and luminal integrity of the vertebral artery. Conclusions: Vertebrojugular AVFs are rare and usually treated with transcatheter embolization techniques, but percutaneous repair using a small-caliber stent-graft appears feasible. This minimally invasive treatment might become the method of choice for AVFs in other small-bore vessels.

Iatrogenic Vertebral Arteriovenous Fistula Treated with a Hemobahn Stent-Graft

2003 ◽  
Vol 10 (3) ◽  
pp. 657-663 ◽  
Author(s):  
Rhyan Priestley ◽  
Peter Bray ◽  
Alan Bray ◽  
Jenny Hunter
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Stent Graft ◽  
Duplex Ultrasound ◽  
Covered Stent ◽  
Stent Grafts ◽  
Color Flow ◽  
Planning Treatment ◽  
The Right ◽  
Endoluminal Treatment

Purpose: To illustrate the utility of color flow duplex ultrasound (CFDU) in the diagnosis and stent-graft treatment of a rare arteriovenous fistula (AVF) involving the vertebral artery and vein. Case Report: An iatrogenic AVF involving the right vertebral artery and vein was diagnosed in a 45-year-old man using CFDU. Treatment was recommended due to the large volume of blood shunted through the fistula and the associated loud bruit. Endoluminal treatment involved deployment of a covered stent within the vertebral artery to exclude the fistula. Postoperative CFDU confirmed the success of the treatment. Conclusions: CFDU can be utilized to accurately diagnose unusual lesions, such as AVFs involving the vertebral artery. The technique is also useful in planning treatment and monitoring the durability of stent-grafts implanted to obliterate this type of defect.

scholarly journals Endovascular treatment of V3 segment vertebro-vertebral arteriovenous fistula with Willis covered stent: Case report and literature review

2018 ◽  
Vol 25 (1) ◽  
pp. 97-101 ◽  
Author(s):  
Jiewen Geng ◽  
Peng Hu ◽  
Yongjie Ma ◽  
Peng Zhang ◽  
Hongqi Zhang
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Covered Stent ◽  
Digital Subtraction ◽  
Pulsatile Tinnitus ◽  
Vertebral Arteriovenous Fistula ◽  
Before And After ◽  
The Right

A 46-year-old male presented to our hospital suffering from right mastoid pulsatile tinnitus secondary to traffic trauma. Digital subtraction angiography was remarkable for a vertebro-vertebral arteriovenous fistula fed by the right vertebral artery at the C1 level. Dual platelet therapy was administrated before and after the operation, then a Willis covered stent was deployed at the orifice of the fistula. Post-operative angiography showed proper stent localization but some contrast agent leaking from the fistula. Angiography performed 6 months post-operatively demonstrated no leak from the fistula and the patency of the right vertebral artery. This case demonstrated that an intracranial covered stent could be used as an alternative, successful treatment for vertebro-vertebral arteriovenous fistula.

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.

Endovascular Stent-Graft Repair of Major Abdominal Arteriovenous Fistula:

2009 ◽  
Vol 16 (4) ◽  
pp. 514-523 ◽  
Author(s):  
George A. Antoniou ◽  
Stylianos Koutsias ◽  
Christos Karathanos ◽  
Giorgos S. Sfyroeras ◽  
Georgios Vretzakis ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Stent Graft ◽  
Endovascular Stent ◽  
Endovascular Stent Graft ◽  
Stent Graft Repair ◽  
Endovascular Stent Graft Repair

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.

Spontaneous regression of an idiopathic arteriovenous fistula of the right vertebral artery

2017 ◽  
Vol 60 (2) ◽  
pp. 221-223 ◽  
Author(s):  
Omar Choudhri ◽  
Mircea C. Dobre ◽  
Abdullah Feroze ◽  
Nikhil Sharma ◽  
Huy M. Do
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Spontaneous Regression ◽  
The Right

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.

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