title: Endovascular management of pediatric high-flow vertebro-vertebral fistula with reversed basilar artery flow. A case report and review of the literature.
abstract: Vertebral artery arteriovenous fistula (VAVF) is mostly known as a post-traumatic and/or iatrogenic arteriovenous complication. However, spontaneous high-flow VAVF associated with flow reversal in the basilar artery has not been reported in children. We describe a unique asymptomatic presentation of a spontaneous high-flow VAVF associated with flow reversal in the basilar artery in a pediatric patient. The literature for classification, pathophysiology, treatment strategies, and post-procedural complications is also reviewed.
authors.affiliation: Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. amir.honarmand@northwestern.edu
authors.forename: A R
authors.initials: AR
authors.lastname: Honarmand
authors.forename: S A
authors.initials: SA
authors.lastname: Ansari
authors.forename: T D
authors.initials: TD
authors.lastname: Alden
authors.forename: M
authors.initials: M
authors.lastname: Soltanolkotabi
authors.forename: S E
authors.initials: SE
authors.lastname: Schoeneman
authors.forename: M C
authors.initials: MC
authors.lastname: Hurley
authors.forename: O
authors.initials: O
authors.lastname: Rahman
authors.forename: A
authors.initials: A
authors.lastname: Shaibani
mesh_terms: D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D002648:Child; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D011859:Radiography; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*