ArticleThe neuroradiology journal2022
Combined transarterial and transvenous embolization of multi-hole pial arteriovenous fistula with large varix.
Article in The neuroradiology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 5 citations in OpenAlex.
- Embolization of cerebellar pial arteriovenous fistula presented with congestive edema of the brainstem and cervical cord.The neuroradiology journal · 2024Article
- Curative transvenous embolization for congenital multi-hole pial arteriovenous fistula.Journal of cerebrovascular and endovascular neurosurgery · 2024Article
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Authors and funding
6 authors at 2 institutions in 1 country.
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Abstract
backgroundPial arteriovenous fistula (AVF) is a vascular fistulous disease in which the cerebral pial artery and vein are directly connected without the intervening nidus within a sub-pial space. Multi-hole pial AVFs, wherein multiple feeders flow into one drainer, are usually formed with complex angioarchitecture and are difficult to treat.
methodsA rare case of an adult patient with hereditary hemorrhagic telangiectasia and multi-hole pial AVF was described. A 23-year-old woman was referred to our hospital. She was previously diagnosed with left cerebellar pial AVF with multiple feeders (bilateral superior cerebellar artery and common trunk of the left anterior inferior cerebellar artery and posterior inferior cerebellar) and large varix that had been untreated for 9 years. The enlargement of the large varix with the new second varix formation was revealed by angiography. Although asymptomatic, considered to be a risk for future hemorrhage was the continuous high hemodynamic stress.
resultsEndovascular embolization was performed by securing safe transarterial
conclusionsPerforming combined transarterial and transvenous embolization in a well-balanced manner was considered to treat multi-hole pial AVF to provide a safe and effective embolization.
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