Endovascular management of intracranial pial arterio-venous fistulas.
From 1996-2002 we treated 5 consecutive cases of pial fistula. There were 3 patients with a single hole-single channel pial fistula and two patients had a complex pial fistula. Three patients presented with intracerebral hematoma and had a focal neurological deficit. One patient presented with history of seizures and 1 patient had headache. The results of the treatment were analyzed both clinically and angiographically. The follow-up period ranged from 6 months to 6 years. All fistulas were treated with concentrated glue. The glue cast included the distal part of the feeding artery, A-V connection and the proximal part of the vein. Post-embolisation angiography showed complete occlusion of two single-hole fistulas and one complex pial A-V fistula and near total occlusion of one single-hole and one complex pial A-V fistula. Four patients had excellent clinical outcome. One patient with single-hole fistula had a hemorrhagic venous infarct resulting in transient hemiparesis.
Limaye
U S
US
Division of Interventional Neuroradiology, Department of Radiology, Seth G. S. Medical College and King Edward Memorial Hospital, Parel, Mumbai, India. kemrad@vsnl.com
Siddhartha
W
W
Shrivastav
M
M
Anand
S
S
Ghatge
S
S
D000293:Adolescent; D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002339:Carotid Arteries / Q000473:pathology / Q000601:surgery; D002533:Cerebral Angiography; D020202:Cerebral Hemorrhage, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery; D002550:Cerebral Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D020768:Middle Cerebral Artery / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed