Deconstructive repair of a traumatic vertebrovertebral arteriovenous fistula via a contralateral endovascular approach

Vertebrovertebral arteriovenous fistulas (VVAVFs) are rare entities that lack consensus guidelines for their management. Our case describes the successful treatment of a traumatic VVAVF via a contralateral deconstructive endovascular approach. A 64-year-old female presented following a traumatic fal...

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Bibliographic Details
Published in:Journal of cerebrovascular and endovascular neurosurgery 2022, 24(3), , pp.291-296
Main Authors: Nageshwaran, Sathiji K, Deng, Francis, Regenhardt, Robert W, Das, Alvin S, Alotaibi, Naif M, Patel, Aman B, Stapleton, Christopher J
Format: Article
Language:English
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Case Report
신경외과학
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Summary:Vertebrovertebral arteriovenous fistulas (VVAVFs) are rare entities that lack consensus guidelines for their management. Our case describes the successful treatment of a traumatic VVAVF via a contralateral deconstructive endovascular approach. A 64-year-old female presented following a traumatic fall. Computed tomography angiogram highlighted a 2 cm pseudoaneurysm of the right vertebral artery (VA) with epidural contrast enhancement and a hematoma with flow voids within the epidural space. Digital subtraction angiography showed a VVAVF at C2-3 with retrograde filling of the distal right VA. Having undergone several unsuccessful passes of the proximal dissection flap in the right VA, the patient underwent a contralateral deconstructive approach with correction of the VVAVF without complication. The remaining feeding branches had occluded after 1 week. The patient made a complete recovery without neurological sequelae at 3-month follow-up.
ISSN:2234-8565
2287-3139
DOI:10.7461/jcen.2022.E2021.10.002