Trial reportInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
Endovascular treatment in spinal perimedullary arteriovenous fistula.
Trial report in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The trial behind it
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Who cites it
7 citing papers in PubMed.
- High-cervical Perimedullary Arteriovenous Fistula at C2: Staged Posterior Flow Control Followed by Transoral Direct Obliteration with Long-term Independence.NMC case report journal · 2026Article
- Microsurgical resection of a perimedullary conus medullaris arteriovenous fistula type IVa: a case report.Annals of medicine and surgery (2012) · 2025Article
- Treatment of 23 spinal perimedullary arteriovenous fistulas in a single center: A simple and practical treatment strategy.Surgical neurology international · 2025Article
- Single hole, high-flow, spinal cord peri-medullary arteriovenous fistula (PMAVF) in a child, treated with transarterial embolization: A case report.Radiology case reports · 2024Article
- Dorsal intradural spinal arteriovenous fistula associated with giant intradural spinal aneurysm, a case report.Clinical case reports · 2023Article
- An unusual cause of vertigo and headache in childhood.Wiener medizinische Wochenschrift (1946) · 2017Article
- Study and therapeutic progress on spinal cord perimedullary arteriovenous fistulas.Biomedical reports · 2017Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study includes 20 patients with 21 spinal perimedullary fistulae. There were nine Type IVa (42.8%) lesions, ten Type IVb (47.6%) and two Type IVc (9.5%) lesions. The dominant arterial supply was from the anterior spinal artery (47.6%), posterior spinal artery (19%) and directly from the radiculomedullary artery (28.5%). Sixteen lesions in 15 patients were treated by endovascular route using n-butyl-2-cyanoacrylate. Endovascular treatment was not feasible in five patients. Of the ten patients with microfistulae, catheterization failed/was not attempted in 40%, complete obliteration of the lesion was seen in 60% but clinical improvement was seen in 40% of patients. Catheterization was feasible in all ten patients with macrofistulae (nine type IVb and two type IVc lesions). Complete obliteration of the lesions was seen in 60% and residue in 30%. Clinical improvement was seen in 80% and clinical deterioration in 10%. In conclusion, endovascular glue embolization is safe and efficacious in type IVb and IVc spinal perimedullary fistulae and should be considered the first option of treatment. It is also feasible in many of the type IVa lesions.
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