title: Endovascular treatment of vertebro-vertebral arteriovenous fistula. A report of three cases and literature review.
abstract: This report describes endovascular approaches for occlusion of vertebro-vertebral arteriovenous fistula (VV-AVF) in a series of three cases and a review of the literature. Complete neuroimaging assessment, including CT, MR and DSA was performed in three patients (two female, one male) with VV-AVF. Based on DSA findings, the VV-AVF were occluded by endovascular positioning of detachable balloons (case 1), coils (case 2), or a combination of both (case 3) with parent artery patency in two out of three cases. In this small series, endovascular techniques for occlusion of VV-AVF were safe and effective methods of treatment. To date, there are no guidelines on the best treatment for VV-AVF. Detachable balloons, endovascular coiling, combined embolization procedures could all be considered well-tolerated treatments.
authors.affiliation: Department of Diagnostic Imaging, University of Naples, Naples, Italy. frabriga@unina.it
authors.forename: F
authors.initials: F
authors.lastname: Briganti
authors.forename: E
authors.initials: E
authors.lastname: Tedeschi
authors.forename: G
authors.initials: G
authors.lastname: Leone
authors.forename: M
authors.initials: M
authors.lastname: Marseglia
authors.forename: D
authors.initials: D
authors.lastname: Cicala
authors.forename: M
authors.initials: M
authors.lastname: Giamundo
authors.forename: M
authors.initials: M
authors.lastname: Napoli
authors.forename: F
authors.initials: F
authors.lastname: Caranci
mesh_terms: D000328:Adult; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery*