Vascular Reconstruction of a Brachial Artery Aneurysm Proximally to an Arteriovenous Malformation

Brachial artery aneurysms and arteriovenous malformations (AVM) are limb-threatening vascular anomalies. This patient presented with a bilobed brachial artery aneurysm in the antecubital fossa proximally to an AVM arising from the dorsal interosseous and ulnar arteries that had been treated with endovascular embolization, leaving the hand solely supplied by the radial artery. The aneurysm continued to increase in size and imaging revealed concomitant thrombus. A femoral vein interposition graft was used to repair the aneurysm, and postoperatively, the patient retained full left arm function.

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Urticarial reaction following endovascular embolization of an orbital arteriovenous malformation (AVM) with n-butyl cyanoacrylate (nBCA) glue

Interventional Neuroradiology ◽

10.1177/1591019917728400 ◽

2017 ◽

Vol 23 (6) ◽

pp. 666-668 ◽

Cited By ~ 4

Author(s):

Kunal R Sinha ◽

Gary Duckwiler ◽

Daniel B Rootman

Keyword(s):

Arteriovenous Malformation ◽

Surgical Resection ◽

Arteriovenous Malformations ◽

Vascular Inflammation ◽

Endovascular Embolization ◽

Vascular Lesions ◽

Hypersensitivity Reactions ◽

Potential Complication ◽

Skin Allergy ◽

Systemic Hypersensitivity

Orbital arteriovenous malformations (AVMs) are rare vascular lesions that may be managed with endovascular embolization followed by surgical resection. Embolization is often accomplished with n-butyl-2-cyanoacrylate (nBCA), which is considered to be a safe and effective liquid occlusive agent. Localized vascular inflammation has been associated with endovascular nBCA use in histopathologic studies, but reports of systemic hypersensitivity reactions following endovascular embolization with nBCA are rare. We present a case of a 26-year-old male who developed an intermittent systemic urticarial reaction without cardiopulmonary compromise beginning four weeks after nBCA embolization of an orbital AVM. Subsequent skin allergy testing performed by an allergist confirmed hypersensitivity to nBCA glue and the patient has since been successfully managed with daily oral antihistamines. Awareness of this rare potential complication of endovascular embolization with nBCA will aid in the counseling and management of patients with AVMs.

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Microsurgical resection of an anterior medullary arteriovenous malformation

Neurosurgical Focus: Video ◽

10.3171/2020.10.focvid2073 ◽

2021 ◽

Vol 4 (1) ◽

pp. V4

Author(s):

Joshua S. Catapano ◽

Rohin Singh ◽

Visish M. Srinivasan ◽

Michael T. Lawton

Keyword(s):

Arteriovenous Malformation ◽

Potential Risk ◽

Arteriovenous Malformations ◽

Open Surgery ◽

Treatment Options ◽

Current Treatment ◽

Endovascular Embolization ◽

Link Type ◽

Far Lateral ◽

Microsurgical Resection

Arteriovenous malformations (AVMs) in the brainstem, specifically medullary AVMs, are exceedingly rare and difficult to treat. These lesions are commonly more aggressive than supratentorial AVMs and pose their own unique treatment challenges. Current treatment options for these AVMs consist of endovascular embolization or open surgery. Radiosurgery is not favored because it is associated with potential risk to the brainstem and lower obliteration rates. Here the authors report the case of a 27-year-old man with a ruptured anterior medullary AVM. The patient underwent a successful far-lateral craniotomy for resection of the AVM.The video can be found here: https://youtu.be/lyOfOQ3sBdU

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Lenticulostriate Artery Aneurysm Associated with Cerebral Arteriovenous Malformation: Report of Rare Association and Its Endovascular Management

Journal of Clinical Interventional Radiology ISVIR ◽

10.1055/s-0037-1601450 ◽

2017 ◽

Vol 01 (02) ◽

pp. 114-116

Author(s):

Santhosh Kannath ◽

Jayadevan Rajan

Keyword(s):

Arteriovenous Malformation ◽

Single Case ◽

Case Reports ◽

Case Series ◽

Artery Aneurysm ◽

Endovascular Embolization ◽

Endovascular Management ◽

Rare Association ◽

Lenticulostriate Artery ◽

Targeted Approach

AbstractAneurysms involving the lenticulostriate arteries are rare and are described in the literature in small case series or single-case reports. In this report, we discuss a case of a young woman who presented with acute lateral ventricular bleed and was found to have an arteriovenous malformation within the corona radiata and an aneurysm involving the distal lenticulostriate artery. The aneurysm was treated successfully by endovascular embolization. In deep-seated arteriovenous malformations (AVMs) that are conventionally treated by stereotactic radiosurgery, a targeted approach for treatment of an associated aneurysm could be considered to reduce the risk of rebleed until the AVM is obliterated.

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Lateral parietal arteriovenous malformation with feeding artery aneurysm

Neurosurgical FOCUS ◽

10.3171/2017.7.focusvid.17108 ◽

2017 ◽

Vol 43 (videosuppl1) ◽

pp. V8

Author(s):

Ashish H. Shah ◽

Anthony C. Wang ◽

Jacques J. Morcos

Keyword(s):

Arteriovenous Malformation ◽

Surgical Resection ◽

Arteriovenous Malformations ◽

Posterior Cerebral Artery ◽

Artery Aneurysm ◽

Venous Drainage ◽

Feeding Artery ◽

Grade Ii ◽

Martin Grade ◽

Risk Of Hemorrhage

Superficial arteriovenous malformations (AVMs) with favorable Spetzler-Martin grading are amenable to primary surgical resection. Careful preoperative workup including preoperative angiograms is essential to identify feeding artery aneurysms and deep venous drainage. The authors present a 37-year-old female who presented with a Spetzler-Martin Grade II right parietal superficial AVM with a 5-mm feeding artery aneurysm from the posterior cerebral artery. Given the risk of hemorrhage, the AVM was resected completely without any complications. On subsequent postoperative angiograms, the feeding artery aneurysm diminished in caliber. Feeding artery aneurysms may regress spontaneously after resection of an AVM due to flow-related changes.The video can be found here: https://youtu.be/PpwODc9iI3g.

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Extended Retrosigmoid Approach for Resection of a Lateral Pontine Arteriovenous Malformation: 2-Dimensional Operative Video

Operative Neurosurgery ◽

10.1093/ons/opab229 ◽

2021 ◽

Author(s):

Joshua S Catapano ◽

Rohin Singh ◽

Visish M Srinivasan ◽

Michael T Lawton

Keyword(s):

Arteriovenous Malformation ◽

Effective Treatment ◽

Surgical Resection ◽

Treatment Option ◽

Arteriovenous Malformations ◽

Endovascular Embolization ◽

Retrosigmoid Approach ◽

Treatment Modalities ◽

Effective Treatment Option ◽

Patient Consent

Abstract Pontine arteriovenous malformations (AVMs) are uncommon lesions, with few reports in the literature. The best treatment option is debated, with options including surgical resection, endovascular embolization, and radiosurgery. Patient consent for the procedure was obtained. Herein, we report the successful resection of a ruptured lateral pontine AVM with an associated aneurysm in a woman in her early 70s. Surgical resection can be considered an effective treatment option for brainstem AVMs and should be considered alone or in conjunction with other treatment modalities. Used with permission from Barrow Neurological Institute, Phoenix, Arizona.

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Middle Cerebral-Anterior Cerebral-Radial Artery Interposition Graft Bypass for Proximal Anterior Cerebral Artery Aneurysm

Neurologia medico-chirurgica ◽

10.2176/nmc.51.661 ◽

2011 ◽

Vol 51 (9) ◽

pp. 661-663 ◽

Cited By ~ 5

Author(s):

Ken KAZUMATA ◽

Katsuyuki ASAOKA ◽

Yuka YOKOYAMA ◽

Toshiya OSANAI ◽

Taku SUGIYAMA ◽

...

Keyword(s):

Radial Artery ◽

Cerebral Artery ◽

Anterior Cerebral Artery ◽

Artery Aneurysm ◽

Interposition Graft ◽

Proximal Anterior Cerebral Artery ◽

Anterior Cerebral Artery Aneurysm ◽

Cerebral Artery Aneurysm

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Combined strategies on the treatment of cerebellar arteriovenous malformation

Neurosurgical Focus: Video ◽

10.3171/2020.10.focvid2058 ◽

2021 ◽

Vol 4 (1) ◽

pp. V16

Author(s):

Marcos Dellaretti ◽

Diego da Silveira ◽

Tancredo Alcântara Ferreira Junior

Keyword(s):

Patient Outcome ◽

Decision Making ◽

Arteriovenous Malformation ◽

Arteriovenous Malformations ◽

Endovascular Embolization ◽

Interventional Treatment ◽

Suboccipital Craniotomy ◽

Microsurgical Resection ◽

Cerebral Avms ◽

Combined Strategy

Cerebellar arteriovenous malformations (AVMs) comprise 10%–15% of all intracranial AVMs and have a higher risk for morbidity and mortality than supratentorial AVMs. Patients with cerebellar AVMs present with hemorrhage more often than patients with cerebral AVMs, justifying an interventional treatment. Patient outcome can be predicted with specific grade systems, guiding vascular neurosurgeons in decision-making. The authors present the case of a 42-year-old man incidentally diagnosed with an unruptured cerebellar inferior vermian AVM, which was managed through a combined strategy of preoperative endovascular embolization of the main arterial feeders followed by microsurgical resection via midline suboccipital craniotomy, with a favorable outcome.The video can be found here: https://youtu.be/3WESejZbk90

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