title: The endovascular treatment of a spinal perimedullary arteriovenous fistula with coils: a case report.
abstract: We report a case of direct spinal intradural ventral arteriovenous fistula of the thoraco-lumbar region. Angiography demonstrated a single feeder from the anterior spinal artery that drained directly into a markedly dilated vein without an intervening nidus. The endovascular treatment was performed by a transarterial approach and the occlusion of the fistula, after a failed treatment by a detachable balloon, was obtained by coils released in the initial fistulous site inside a venous dilatation with complete clinical cure. This case indicates that endovascular treatment is possible using coils as a valid and safe alternative to a balloon, glue or surgical approach.
authors: Neuroradiology Po Loreto Mare, Napoli, Italy. luigipasqualetto@libero.it
authors: L
authors: L
authors: Pasqualetto
authors: R
authors: R
authors: Papa
authors: M
authors: M
authors: Isalberti
authors: N P
authors: NP
authors: Nuzzi
authors: V
authors: V
authors: Branca
mesh_terms: D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D001165:Arteriovenous Malformations / Q000601:surgery / Q000628:therapy*; D002648:Child; D004388:Dura Mater / Q000002:abnormalities / Q000098:blood supply / Q000601:surgery; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008159:Lumbar Vertebrae / Q000098:blood supply / Q000601:surgery; D053783:Magnetic Resonance Imaging, Interventional / Q000379:methods; D008297:Male; D008526:Medulla Oblongata / Q000098:blood supply / Q000601:surgery; D013116:Spinal Cord / Q000002:abnormalities / Q000098:blood supply*; D013904:Thoracic Vertebrae / Q000098:blood supply / Q000601:surgery; D016896:Treatment Outcome