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How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula
Background Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait. Method Thoracic MRI of the lesion indicated myelomalacia and dilated blood v...
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| Published in: | Acta neurochirurgica 2024-02, Vol.166 (1), p.111-111, Article 111 |
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| container_end_page | 111 |
| container_issue | 1 |
| container_start_page | 111 |
| container_title | Acta neurochirurgica |
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| creator | Lee, Yao-Lin Ko, Ching-Chung Chen, Chien-Min Liao, Jen-Chieh |
| description | Background
Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait.
Method
Thoracic MRI of the lesion indicated myelomalacia and dilated blood vessels, while DSA revealed the right T6 radicular artery as the feeding arteriole. A full endoscopic obliteration of the lesion was performed under angiography guidance in a hybrid operation room.
Conclusion
The case underscores the importance of a multidisciplinary and individualized approach to successfully manage sDAVF using a fully endoscopic approach. |
| doi_str_mv | 10.1007/s00701-024-05997-0 |
| format | article |
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Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait.
Method
Thoracic MRI of the lesion indicated myelomalacia and dilated blood vessels, while DSA revealed the right T6 radicular artery as the feeding arteriole. A full endoscopic obliteration of the lesion was performed under angiography guidance in a hybrid operation room.
Conclusion
The case underscores the importance of a multidisciplinary and individualized approach to successfully manage sDAVF using a fully endoscopic approach.</description><identifier>ISSN: 0942-0940</identifier><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-024-05997-0</identifier><identifier>PMID: 38411767</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Angiography ; Arteries ; Back surgery ; Blood vessels ; Central Nervous System Vascular Malformations - diagnostic imaging ; Central Nervous System Vascular Malformations - surgery ; Endoscopy ; Fistula ; Fistulae ; How I Do it ; Humans ; Interventional Radiology ; Male ; Medical imaging ; Medicine ; Medicine & Public Health ; Middle Aged ; Minimally Invasive Surgery ; Neurology ; Neuroradiology ; Neurosurgery ; Spinal Cord Diseases ; Surgical Orthopedics ; Thorax ; Vascular Neurosurgery – Arteriovenous malformation ; Veins & arteries</subject><ispartof>Acta neurochirurgica, 2024-02, Vol.166 (1), p.111-111, Article 111</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-e007cb9be054740965e15bd16575b2dc6c7df92e800b794c08aa09a0df5166993</cites><orcidid>0000-0002-8521-087X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38411767$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Yao-Lin</creatorcontrib><creatorcontrib>Ko, Ching-Chung</creatorcontrib><creatorcontrib>Chen, Chien-Min</creatorcontrib><creatorcontrib>Liao, Jen-Chieh</creatorcontrib><title>How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir</addtitle><addtitle>Acta Neurochir (Wien)</addtitle><description>Background
Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait.
Method
Thoracic MRI of the lesion indicated myelomalacia and dilated blood vessels, while DSA revealed the right T6 radicular artery as the feeding arteriole. A full endoscopic obliteration of the lesion was performed under angiography guidance in a hybrid operation room.
Conclusion
The case underscores the importance of a multidisciplinary and individualized approach to successfully manage sDAVF using a fully endoscopic approach.</description><subject>Angiography</subject><subject>Arteries</subject><subject>Back surgery</subject><subject>Blood vessels</subject><subject>Central Nervous System Vascular Malformations - diagnostic imaging</subject><subject>Central Nervous System Vascular Malformations - surgery</subject><subject>Endoscopy</subject><subject>Fistula</subject><subject>Fistulae</subject><subject>How I Do it</subject><subject>Humans</subject><subject>Interventional Radiology</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgery</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosurgery</subject><subject>Spinal Cord Diseases</subject><subject>Surgical Orthopedics</subject><subject>Thorax</subject><subject>Vascular Neurosurgery – Arteriovenous malformation</subject><subject>Veins & arteries</subject><issn>0942-0940</issn><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kUtPxCAUhYnR-P4DLgyJGzfVC21hcGeMr8TEja4Jhduxk06p0Gr89zLWV1y4OZDwnQOXQ8gBgxMGIE9jEmAZ8CKDUimZwRrZBlXwLAms_9pvkZ0YFwCMyyLfJFv5rGBMCrlNzI1_pbfUedoMZ9R088bPg-mf3jITYxMHdLQe25Zi53y0vm8sHQKaYYndQH1NY990pqVuDElNGDA0_gU7P0ZaJ_vYmj2yUZs24v7nuksery4fLm6yu_vr24vzu8zmXAwZpmFspSqEspAFKFEiKyvHRCnLijsrrHS14jgDqKQqLMyMAWXA1SUTQql8lxxPuX3wzyPGQS-baLFtTYfpOZqrnBe5kIIn9OgPuvBjSHNMVJ4otaL4RNngYwxY6z40SxPeNAO9KkBPBehUgP4oQEMyHX5Gj9US3bfl68cTkE9ATEfdHMPP3f_EvgNK0pCb</recordid><startdate>20240227</startdate><enddate>20240227</enddate><creator>Lee, Yao-Lin</creator><creator>Ko, Ching-Chung</creator><creator>Chen, Chien-Min</creator><creator>Liao, Jen-Chieh</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8521-087X</orcidid></search><sort><creationdate>20240227</creationdate><title>How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula</title><author>Lee, Yao-Lin ; 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Spinal dural arteriovenous fistula (sDAVF) is a rare vascular malformation that leads to serious neurological symptoms. We treat a 52-year-old man with sDAVF in the thoracic segment exhibiting uncoordinated gait.
Method
Thoracic MRI of the lesion indicated myelomalacia and dilated blood vessels, while DSA revealed the right T6 radicular artery as the feeding arteriole. A full endoscopic obliteration of the lesion was performed under angiography guidance in a hybrid operation room.
Conclusion
The case underscores the importance of a multidisciplinary and individualized approach to successfully manage sDAVF using a fully endoscopic approach.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>38411767</pmid><doi>10.1007/s00701-024-05997-0</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-8521-087X</orcidid></addata></record> |
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| subjects | Angiography Arteries Back surgery Blood vessels Central Nervous System Vascular Malformations - diagnostic imaging Central Nervous System Vascular Malformations - surgery Endoscopy Fistula Fistulae How I Do it Humans Interventional Radiology Male Medical imaging Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgery Neurology Neuroradiology Neurosurgery Spinal Cord Diseases Surgical Orthopedics Thorax Vascular Neurosurgery – Arteriovenous malformation Veins & arteries |
| title | How I do it: angiography-assisted full endoscopic treatment of spinal dural arteriovenous fistula |
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