The use of the "cross over technique" in the management of a traumatic vertebro-vertebral fistula.
A case of dissecting stab wound injury to the right vertebral artery with a vertebro-vertebral fistula is reported. Since a complete occlusion of a VV-fistula was not possible from a proximal approach with detachable balloons only retrograde catheterisation of the right vertebral artery via the left vertebral artery was undertaken (cross over technique). The introduction of thrombogenic platinum-coils led to a successful and complete occlusion of the fistula.
Freitag
H J
HJ
Abteilung Neuroradiologie, Universitäts-Krankenhaus Eppendorf, Hamburg, Federal Republic of Germany.
Grzyska
U
U
Zeumer
H
H
D000328:Adult; D001164:Arteriovenous Fistula / Q000628:therapy*; D002404:Catheterization; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000473:pathology; D014711:Vertebral Artery / Q000473:pathology