Endovascular treatment of spinal arteriovenous fistula in a young child with hereditary hemorrhagic telangiectasia

2005 ◽  
Vol 103 (5) ◽  
pp. 462-465 ◽  
Author(s):  
Mark J. Stephan ◽  
Gary M. Nesbit ◽  
Melinda L. Behrens ◽  
Malcolm A. Whitaker ◽  
Stanley L. Barnwell ◽  
...  
2020 ◽  
Vol 4 (3) ◽  
pp. 417-420
Author(s):  
Jodi Spangler ◽  
Bjorn Watsjold ◽  
Jonathan Ilgen

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.


2002 ◽  
Vol 8 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Y. Iizuka ◽  
K. Shimoji ◽  
S. Kyogoku ◽  
T. Maehara ◽  
Y. Yamashiro

We report an infantile huge perimedullary spinal arteriovenous fistula (SAVF) associated with Hereditary-Hemorrhagic-Telangiectasia (HHT), which was treated by glue embolization in one session. Three-dimensional Multidetector Computed Tomography Angiography (3D-MCTA) was useful in pre- and post-endovascular intervention.


2008 ◽  
Vol 168 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Alice Poisson ◽  
Ashok Vasdev ◽  
Francis Brunelle ◽  
Henri Plauchu ◽  
Sophie Dupuis-Girod ◽  
...  

2005 ◽  
Vol 52 (2) ◽  
pp. 107
Author(s):  
Jeong Yeol Choi ◽  
Dong Hyun Kim ◽  
Hyung Woo Oh ◽  
Jeong Hwan Jang ◽  
Jae Hee Oh ◽  
...  

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Shuhei Kawabata ◽  
Hajime Nakamura ◽  
Takeo Nishida ◽  
Masatoshi Takagaki ◽  
Nobuyuki Izutsu ◽  
...  

ABSTRACT Transarterial embolization (TAE) is a useful option for anterior cranial fossa–dural arteriovenous fistula (ACF–dAVF) as endovascular devices have progressed. Liquid agents are usually injected via a microcatheter positioned just proximal to the shunt pouch beyond the ophthalmic artery; however, high blood flow from the internal maxillary artery (IMA) often impedes penetration of embolic materials into the shunt pouch. Therefore, reducing blood flow from the IMA before embolization can increase the success rate. In the present case, to reduce blood flow from branches of the IMA, we inserted surgical gauze infiltrated with xylocaine and epinephrine into bilateral nasal cavities. Using this method, we achieved curative TAE with minimal damage to the nasal mucosa. Transnasal flow reduction is an easy, effective and minimally invasive method. This method should be considered in the endovascular treatment of ACF–dAVF, especially in patients with high blood flow from theIMA.


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