Endovascular treatment of vertebral arteriovenous fistula using an occlude
https://doi.org/10.35401/2500-0268-2021-23-3-47-51
Abstract
The search for the optimal approach in the treatment of brachiocephalic arteriovenous fistulas is one of the current problems of neurosurgery and vascular surgery. It is important to note that the best prognosis requires timely diagnosis and the earliest possible dissection of the fistula. Also, the method of treatment should have the least negative consequences and a good clinical effect. Previously, surgeons used open surgical vessel ligation with great technical difficulties due to anatomical difficulties of access as well as bleeding. In recent decades, the endovascular approach to treatment has demonstrated advantages over open interventions. Despite the low traumaticity, there is a risk of complications such as untargeted vascular embolization, perioperative stroke, etc. In this article we demonstrate the experience of arterio-venous vertebral artery fistula dissection using an occluder.
About the Authors
A. N. Pakholkov
Research Institute – Ochapovsky Regional Hospital no. 1
Russian Federation
Russian Federation
Andrey N. Pakholkov, Surgeon, X-Ray Surgery Department
1 Maya str., 167, Krasnodar, 350086
E. S. Suslov
Research Institute – Ochapovsky Regional Hospital no. 1
Russian Federation
Russian Federation
Evgeny S. Suslov, Surgeon, X-Ray Surgery Department
Krasnodar
K. A. Lashevich
Research Institute – Ochapovsky Regional Hospital no. 1
Russian Federation
Russian Federation
Kirill A. Lashevich, Surgeon, X-Ray Surgery Department
Krasnodar
A. N. Fedorchenko
Research Institute – Ochapovsky Regional Hospital no. 1
Russian Federation
Russian Federation
Alexey N. Fedorchenko, Dr. of Sci. (Med.), Head of the X-ray Diagnosis and Treatment Department
Krasnodar
V. A. Porhanov
Research Institute – Ochapovsky Regional Hospital no. 1;
Kuban State Medical University
Russian Federation
Russian Federation
Vladimir A. Porhanov, Academician of the Russian Academy of Sciences, Dr. of Sci. (Med.), Professor, Chief Doctor of Research Institute – Ochapovsky Regional l Hospital no. 1; Head of the Department of Oncology with the Course of Thoracic Surgery, Faculty of Advanced Training and Professional Retraining of Specialists, Kuban State Medical University
Krasnodar
References
1. DeansWR,BlochS,LeibrockL, et al.Arteriovenousfistula in patients with neurofibromatosis. Radiology. 1982;144(1):103–7. PMID: 6806851. https://doi.org/10.1148/radiology.144.1.6806851
2. Vinchon M, Laurian C, George B, et al. Vertebral arteriovenous fistulas: a study of 49 cases and review of the literature. Cardiovasc Surg. 1994;2(3):359–69. PMID: 8049975.
3. Halbach VV, Higashida RT, Hieshima GB. Treatment of vertebral arteriovenous fistulas. AJR Am J Roentgenol. 1988;150(2):405–12. PMID: 3257333. https://doi.org/10.2214/ajr.150.2.405
4. Modi M, Bapuraj JR, Lal A, et al. Vertebral arteriovenous fistula presenting as cervical myelopathy: a rapid recovery with balloon embolization. Cardiovasc Intervent Radiol. 2010;33(6):1253–6. PMID: 19768495. https://doi.org/10.1007/s00270-009-9708-2
5. Gao P, Chen Y, Zhang H, et al. Vertebral arteriovenous fistulae (AVF) in neurofibromatosis type 1: a report of two cases. Turk Neurosurg. 2013;23(2):289–93. PMID: 23546922. https://doi.org/10.5137/1019-5149.JTN.4993-11.0
6. Patro SN, Gupta AK, Arvinda HR, et al. Combined transarterial and percutaneous coiling of a spontaneous vertebrovertebral fistula associated with neurofibromatosis Type 1. Case report. J Neurosurg. 2009;111(1):37–40. PMID: 19301970. https://doi.org/10.3171/2008.12.JNS081209
7. O’Shaughnessy BA, Bendok BR, Parkinson RJ, et al. Transarterial coil embolization of a high-flow vertebrojugular fistula due to penetrating craniocervical trauma: case report. Surg Neurol. 2005;64(4):335–40. PMID: 16182005. https://doi.org/10.1016/j.surneu.2004.11.010
8. Edwards MK, Christenson EN, Corliss BM, et al. Vertebral arteriovenous fistula: an unwelcome thrill. Case Rep Emerg Med. 2017;2017:8386459. PMID: 28480086. PMCID: PMC5396428. https://doi.org/10.1155/2017/8386459
9. Beaujeux RL, Reizine DC, Casasco DC, et al. Endovascular treatment of vertebral arteriovenous fistula. Radiology. 1992;183(2):361–7. PMID: 1561336. https://doi.org/10.1148/radiology.183.2.1561336
10. Wang Q, Song D, Chen G. Endovascular treatment of high-flow cervical direct vertebro-vertebral arteriovenous fistula with detachable coils and onyx liquid embolic agent. Acta Neurochir (Wien). 2011;153(2):347–52. PMID: 21058042. https://doi.org/10.1007/s00701-010-0850-z
11. Miralbes S, Cattin F, Andrea I, et al. Vertebral arteriovenousfistula: endovasculartreatmentwith electrodetachable coils. Neuradiology. 1998;40(11):761–2. PMID: 9860130. https:// doi.org/10.1007/s002340050680
12. Briganti F, Tedeschi E, Leone G, et al. Endovascular treatment of vertebro-vertebral arteriovenous fistula. A report of three cases and literature review. Neuroradiol J. 2013;26(3):339– 46. PMID: 23859293. PMCID: PMC5278851. https://doi.org/10.1177/197140091302600315
13. Bahar S, ChirasJ, Carpena JP, et al. Spontaneous vertebrovertebral arterio-venous fistula associated with fibro-muscular dysplasia. Report of two cases. Neuroradiology. 1984;26(1):45–9. PMID: 6738842. http://doi.org/10.1007/BF00328203
14. Briganti F, Tortora F, Marseglia M, et al. Covered stent implantation for the treatment of direct carotid-cavernous fistula and its mid-term follow-up. Interv Neuroradiol. 2009;15(2):185– 90. PMID: 20465897 PMCID: PMC3299020. https://doi.org/10.1177/159101990901500208
15. Priestley R, Bray P, Bray A, et al. Iatrogenic vertebral arteriovenous fistula treated with a hemobahn stent-graft. J Endovasc Ther. 2003;10(3):657–63. PMID: 12932183. https://doi.org/10.1177/152660280301000337
16. Gordhan A. Onyx embolization of high-flow spontaneous cervical vertebral arteriovenous fistula. Vasc Endovascular Surg. 2012;46(6):484–6. PMID: 22723260. https://doi.org/10.1177/1538574412452156
17. Yoshida S, Nakazawa K, Oda Y. Spontaneous vertebral arteriovenous fistula: case report. Neurol Med Chir (Tokyo). 2000;40(4):211–5. PMID: 10853320. https://doi.org/10.2176/nmc.40.211
18. Alaraj A, Wallace A, Amin-Hanjani S, et al. Endovascular implantation of covered stents in the extracranial carotid and vertebral arteries: case series and review of the literature. Surg Neurol Int. 2011;2:67. PMID: 21697983. PMCID: PMC3115199.
Review
For citations:
Pakholkov A.N., Suslov E.S., Lashevich K.A., Fedorchenko A.N., Porhanov V.A. Endovascular treatment of vertebral arteriovenous fistula using an occlude. Innovative Medicine of Kuban. 2021;(3):47-51. (In Russ.) https://doi.org/10.35401/2500-0268-2021-23-3-47-51
Views:
627
Email this article 
