ArticleNMC case report journal2025
Transvenous Embolization for a Pediatric Vertebro-vertebral Arteriovenous Fistula-Usefulness of Magnetic Resonance Angiography and Three-dimensional Computed Tomography Angiography: A Case Report.
Article in NMC case report journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Pediatric vertebro-vertebral arteriovenous fistulas are exceptionally uncommon. Most of those patients have undergone digital subtraction angiography for making a diagnosis and transarterial embolization as the treatment. Here, we report a 4-month-old boy with congenital heart disease brought to our department after developing an iatrogenic vertebro-vertebral arteriovenous fistula as a result of a central venous catheter. Magnetic resonance angiography revealed the exact location of the shunt point. Furthermore, three-dimensional computed tomography angiography accurately described the vascular configuration, including the venous drainage route, which was chosen as a potential approach route for endovascular therapy. The shunt was completely occluded by transvenous embolization of the vertebral venous plexus around the shunt point. Magnetic resonance angiography and three-dimensional computed tomography angiography provide useful information for planning treatment strategies for vertebro-vertebral arteriovenous fistulas, particularly in pediatric patients who are at a higher risk of undergoing digital subtraction angiography. Additionally, transvenous embolization can be the first line of treatment for pediatric patients with vertebro-vertebral arteriovenous fistulas due to its safety and effectiveness.
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