Successful embolization of a giant perimedullary arteriovenous fistula of the cervical spine in a 6-year-old child

Ioannidis, Ioannis; Sfakianos, George; Nasis, N.; Prodromou, P.; Andreou, Alexander

doi:10.1007/s00381-007-0385-7

Cited by 10 publications

(6 citation statements)

References 8 publications

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“…Subsequent cardiac failure is more common in children than in adults, fact which justifies the importance of complete cardiac evaluation of the child, as was performed in this case. Neurological manifestations are less frequent and can occur as a result of the following mechanisms (1–3): (i) Spinal or nerve roots compression resulting from significant mass effect; (ii) Vascular steal, which can give rise to vertebrobasilar insufficiency or medullary ischaemia; (iii) Venous hypertension, which can also cause medullary ischaemia per se .…”

Section: Discussionmentioning

confidence: 99%

“…Medullar fistulas with big sacks are best managed by endovascular procedures (4). When compared with conventional surgery, embolization with interventional radiology techniques show similar long‐term results with less morbimortality (1–6). Transarterial embolization with detachable balloons and coils is the standard procedure, though several cases of fistula occlusion with stents have also been reported.…”

Section: Discussionmentioning

confidence: 99%

“…Arteriovenous fistulas involving the vertebral artery are abnormal connections between the extracranial segment of the vertebral artery and a venous structure. The most common locations are the C1–C2 and C6–C7 levels (1–3). These lesions are classified as acquired or congenital.…”

Section: Introductionmentioning

confidence: 99%

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Arteriovenous fistula of the vertebral artery in a female infant with hypotonia and cephalocorporal disproportion

et al. 2010

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Arteriovenous fistula of the vertebral artery in a female infant with hypotonia and cephalocorporal disproportion

et al. 2010

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“…Cervical GPMAVF are extremely rare. Of approximately 21 cases reported in the literature, most were treated endovascularly [12][13][14][15][16][17][18][19]. Amongst three recently reported cervical GPMAVF cases treated by surgery, two had failed endovascular treatment [11].…”

Section: Discussionmentioning

confidence: 99%

Use of Fluorescent Indocyanine Green Angiography During Microsurgical Resection of a Recurrent Giant Perimedullary Cervical Spinal Arteriovenous Fistula in a Patient with Hereditary Hemorrhagic Telangiectasia: A Case Report

Choudhri¹,

Heit²,

Gupta³

et al. 2014

Cureus

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We report the utility of fluorescent indocyanine green (ICG) during the microsurgical resection of a giant perimedullary cervical arteriovenous fistula (GPMAVF) in a young man with hereditary hemorrhagic telangiectasia. ICG angiography is a useful adjunct for understanding angioarchitecture and drainage patterns in spinal arteriovenous malformation (AVM) surgery. Cervical GPMAVF is a rare spinal lesion found in association with hereditary hemorrhagic telangiectasia. This vascular malformation is associated with venous varices in a perimedullary location causing cord compression and vascular steal. This rare case highlights the crucial role of ICG during complex spinal AVM/AVF surgery to obtain angiographic cure.

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“…A new NBCA product is Glubran, which is also a good choice. For example, in 2007, Ioannidis et al reported the use of Glubran for successful embolization of a giant PMAVF of the cervical spine in a 6-year-old child (75).…”

Section: Endovascular Embolizationmentioning

confidence: 99%

Study and therapeutic progress on spinal cord perimedullary arteriovenous fistulas

Guo

Shi

et al. 2017

Biomedical Reports

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Abstract. Spinal cord perimedullary arteriovenous fistulas (PMAVFs) are rare and belong to type IV spinal cord arteriovenous malformations (AVMs). Little is known regarding the treatment and prognosis of spinal cord PMAVFs. In the present study the relevant literature from PubMed was reviewed, and it was found that these fistulas can occur at all ages but are more common in children. In children, most spinal cord PMAVFs are large and with high flow, begin with bleeding and are frequently associated with hereditary hemorrhagic telangiectasia. However, in adults, most spinal cord PMAVFs are small and with low flow and begin with progressive spinal cord dysfunction. The early diagnosis of spinal cord PMAVFs is generally difficult, and symptoms can be very severe at the time of diagnosis. Digital subtraction angiography remains the gold standard; however, computed tomography angiography and magnetic resonance angiography are also promising. Spinal cord PMAVFs can be treated by endovascular embolization, surgical removal or a combination of the two methods. Most spinal cord PMAVFs show good outcomes after the appropriate treatment, and the prognosis is primarily associated with the blood flow of the PMAVF. For high-flow spinal cord PMAVFs, endovascular embolization is more effective and can lead to a good outcome; however, for low-flow spinal cord PMAVFs, surgical removal or the combination with endovascular embolization is the optimal choice. The prognosis for low-flow types is slightly worse than for high-flow spinal cord PMAVFs in children, but the outcome is acceptable.

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Successful embolization of a giant perimedullary arteriovenous fistula of the cervical spine in a 6-year-old child

Abstract: The patient's symptoms resolved completely during the next year.

Cited by 10 publications

References 8 publications

Arteriovenous fistula of the vertebral artery in a female infant with hypotonia and cephalocorporal disproportion

Arteriovenous fistula of the vertebral artery in a female infant with hypotonia and cephalocorporal disproportion

Use of Fluorescent Indocyanine Green Angiography During Microsurgical Resection of a Recurrent Giant Perimedullary Cervical Spinal Arteriovenous Fistula in a Patient with Hereditary Hemorrhagic Telangiectasia: A Case Report

Study and therapeutic progress on spinal cord perimedullary arteriovenous fistulas

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