Three unusual arteriovenous fistulas presenting in young children successfully treated with transarterial endovascular embolization.
Endovascular approaches can be utilized to manage arteriovenous fistulas (AVFs) either as a stand alone therapy or in conjunction with surgical excision. The goal of treatment is to completely obliterate the AVF. These vascular malformations are rare in childhood and pose a treatment challenge. We describe 3 children who were diagnosed with vascular malformations on magnetic resonance imaging and were subsequently found to have unusual AVFs on angiography. These single-feeder fistulas were successfully occluded with transarterial embolization using platinum coils.
Gupta
Rishi
R
Department of Neurology, Stroke Institute, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
Yi
Hyeong Joong
HJ
Jovin
Tudor G
TG
Horowitz
Michael B
MB
D001158:Arteries / Q000002:abnormalities; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000628:therapy*; D002531:Cerebellum / Q000098:blood supply; D002648:Child; D002675:Child, Preschool; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013131:Spine / Q000098:blood supply; D014680:Veins / Q000002:abnormalities; D014711:Vertebral Artery / Q000002:abnormalities