[Vertebrovertebral arteriovenous fistula diagnosis and treatment: report of 8 cases and review of the literature].
Vertebrovertebral Arteriovenous Fistula (V.V.A.V.F.) is a relatively rare entity. It may be an incidental finding or be detected in patients presenting with pulsatile tinnitus, cervical bruit, or vertebro-basilar insufficiency. It can be spontaneous but it most frequently is post-traumatic in etiology. The authors report 8 patients, 4 women and 4 men aged between 20 to 77 years, with 4 post-traumatic V.V.A.V.F. and 4 spontaneous V.V.A.V.F. that were seen over a 15 year period. Imaging work-up included Doppler US (n=4), MRI 9n=3) and angiography (n=8). Seven of 8 patients were treated successfully using an endovascular technique (5 with balloon occlusion, 1 with coil embolization and 1 using a mechanical maneuver), without complication or recurrence, except in one case. We compare our results with published reports from the literature and review the underlying pathology and management strategies of V.V.A.V.F.
Madoz
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Service de Neuroradiologie Diagnostique et Interventionnelle, Hôpital G et R Laënnec, Boulevard Jacques Monod, Saint Herblain, 44093 Nantes Cedex 1, France. arnaud.madoz@chu-nantes.fr
Desal
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H
Auffray-Calvier
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E
Isnard
J
J
Liberge
R
R
Taverneau
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De Kersaint-Gilly
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D000328:Adult; D000368:Aged; D001164:Arteriovenous Fistula / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D014711:Vertebral Artery / Q000473:pathology*