Bilateral arteriovenous fistulae. A complication of vertebral angiography by direct percutaneous puncture

Bergquist, E.

doi:10.1259/0007-1285-44-523-519

Cited by 19 publications

(7 citation statements)

References 6 publications

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“…They speculated that transient reduction and stagnancy of blood flow may have an important role in the thrombosis of the CCF. Bergquist 11 reported bilateral VAVFs after bilateral percutaneous vertebral angiography on the same occasion. About two and a half years on the right side and three years on the left side after the original punctures, these fistulas were found to have closed spontaneously.…”

Section: Discussionmentioning

confidence: 91%

“…Good filling of contrast material in distal VA above the fistula was found in nine of 13 fistulas. 7,11,12,18,21,32–35 In a report of bilateral VAVFs by Newton and Darroch, 7 spontaneous closure of the fistula occurred only on the right side whose vertebral and basilar arteries filled well, whereas no contrast material was seen on the distal left VA. However, in another report of bilateral VAVFs by Bergquist, 11 spontaneous closure occurred in both fistulas even though the left VA was not opacified above the fistula.…”

Section: Discussionmentioning

confidence: 99%

“…1,10 Traumatic cause may be the result of a penetrating injury, blunt trauma, iatrogenic puncture of extracranial VA during diagnostic angiography, or cervical spine surgery. 1,2,7,[11][12][13][14] Spontaneous arteriovenous fistulas (AVFs) of the VA are rare. However, a few studies have reported them as having a spontaneous cause rather than a traumatic cause.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous obliteration of spontaneous vertebral arteriovenous fistula associated with fibromuscular dysplasia after partial surgery: A case report

Iampreechakul

Siriwimonmas

2016

Interv Neuroradiol

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We describe a patient with spontaneous obliteration of spontaneous vertebral arteriovenous fistula (VAVF) associated with fibromuscular dysplasia (FMD) after partial surgery. A 52-year-old hypertensive female woke up one morning with left shoulder pain and weakness of the left upper extremity. A few days later, she developed left-sided audible bruit. She was treated for left frozen shoulder and supportive treatment for audible bruit for four years. She was referred from her general physician to a neurosurgeon because of left arm weakness. Physical examination showed signs of cervical radiculomyelopathy. Magnetic resonance imaging (MRI) showed an extradural mass on the left side of the cervical spinal canal from level C2 to C6. Provisional diagnosis was epidural vascular tumour. Laminectomy and partial removal of the mass was performed at level C5 to C6. Pathological report revealed suspected vascular malformation. Postoperative MRI showed thrombosed epidural vascular structure. Angiography showed dysplastic changes of both vertebral arteries representing FMD with VAVF of the left vertebral artery at level C1–C2. Two years after surgery, follow-up MRI demonstrated complete spontaneous resolution of the large thrombosed epidural vein. Disappearance of her audible bruit immediately after surgery and gradual improvement of her cervical radiculomyelopathy were observed after two years of clinical follow-up. From the literature, we found another 11 patients with 12 VAVFs who had spontaneous obliteration or cure of their fistulas. In the present case, spontaneous obliteration of the fistula seems to correlate with surgery inducing closure of the epidural venous exit leading to thrombosis of the enlarged epidural draining vein.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Spontaneous obliteration of spontaneous vertebral arteriovenous fistula associated with fibromuscular dysplasia after partial surgery: A case report

Iampreechakul

Siriwimonmas

2016

Interv Neuroradiol

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“…They can be caused by trauma or may occur spontaneously. For traumatic cause, bilateral VVAVFs may result from iatrogenic puncture of both VAs [23,24]. Most of these fistulas tend to resolve spontaneously because of the small size of the fistulas.…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous VVAVFs have been associated with FMD, Neurofibromatosis Type 1 (NF1), and Ehlers-Danlos syndrome (EDS) [18][19][20][21][22]. Bilateral VVAVFs are extremely rare and usually traumatic cause, especially by bilateral iatrogenic puncture [23,24]. Spontaneous bilateral VVAVFs associated with FMD are also extremely rare.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2018

Clin Med Rev Case Rep

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The authors reported an extremely rare case of bilateral spontaneous vertebro-vertebral arteriovenous fistulas (VVAVFs) associated with fibromuscular dysplasia (FMD). A 53-year-old hypertensive woman has been placed on antiplatelet drug following diagnosis of supratentorial ischemic stroke for 2 years. Few months before hospitalization, she developed bilateral audible bruits and progressive spastic quadriparesis. Magnetic resonance imaging (MRI) of the cervical spine showed bilateral dilated epidural venous pouches, causing cervical spinal cord compression. Angiography revealed bilateral high-flow VVAVFs with diffuse ectasia, and typical "string of beads" appearance. The left-side fistula located at C2-3 intervertebral foramen and the rightside at C3-4 intervertebral foramen. Reconstitution of bilateral vertebral arteries from bilateral occipital and ascending cervical arteries was also noted distal to the fistulous site. Other multivessel involvement included bilateral extracranial internal carotid, right renal, and intracranial arteries. The right internal carotid studies showed short segment of fenestration or duplication of the distal cervical internal carotid artery (ICA) combined with a small pseudoaneurysm at the distal end of the fenestrated segment, probably representing previous arterial dissection. Under general anesthesia, the fistulas were successfully treated by bilateral V2 segments sacrifice involving fistulous sites using fibered coils. Follow-up MRI and angiography confirmed complete obliteration of the fistulas and resolution of large epidural venous pouches. The patient has gradually improved and returned to her normal daily activities within six months after treatment.

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Extracranial and Extra-Intracranial Arteriovenous Angiomas

Agnoli¹

1975

Cerebral Angiomas

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Bilateral arteriovenous fistulae. A complication of vertebral angiography by direct percutaneous puncture

Cited by 19 publications

References 6 publications

Spontaneous obliteration of spontaneous vertebral arteriovenous fistula associated with fibromuscular dysplasia after partial surgery: A case report

Spontaneous obliteration of spontaneous vertebral arteriovenous fistula associated with fibromuscular dysplasia after partial surgery: A case report

Untitled

Extracranial and Extra-Intracranial Arteriovenous Angiomas

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