Abstract
Objective: Intracranial pial arteriovenous fistulas (PAVFs) are rare vascular lesions with peculiar epidemiological, morphological, and pathophysiological characteristics. Since there is no nidus, PAVF treatment has been performed by direct disconnection of the arteriovenous communication via a surgical, endovascular, or a combined approach. We aim to outline the relevant variables to consider in planning an endovascular treatment strategy. Methods: We present a case of a 12 year old girl with a single feeder PAVF originating from the first segment (P1) of the left posterior cerebral artery with a varicose venous drainage into the right cavernous sinus. Results: We report the successful endovascular exclusion of the fistula with the release of a total of 27 detachable platinum coils with no complications at follow-up. Treatment strategy and nuances are discussed along with a review of the literature. Conclusions: Morphology, age, embolization strategies, and materials are the different variables to be analyzed in the endovascular treatment of such lesions.
| Original language | English |
|---|---|
| Pages (from-to) | 268-273 |
| Number of pages | 6 |
| Journal | Neuroradiology Journal |
| Volume | 28 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Jun 1 2015 |
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Keywords
- Endovascular embolization
- Pial arteriovenous fistula
ASJC Scopus subject areas
- Clinical Neurology
- Radiology Nuclear Medicine and imaging
- Medicine(all)
Cite this
Endovascular embolization of pial arteriovenous fistula fed from P1 segment of posterior cerebral artery in 12 years old girl : Case report and review of literature. / Bongetta, Daniele; Lafe, Elvis; Pugliese, Raffaelino; Cattalani, Andrea; Gaetani, Paolo; Thyrion, Federico Zappoli.
In: Neuroradiology Journal, Vol. 28, No. 3, 01.06.2015, p. 268-273.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Endovascular embolization of pial arteriovenous fistula fed from P1 segment of posterior cerebral artery in 12 years old girl
T2 - Case report and review of literature
AU - Bongetta, Daniele
AU - Lafe, Elvis
AU - Pugliese, Raffaelino
AU - Cattalani, Andrea
AU - Gaetani, Paolo
AU - Thyrion, Federico Zappoli
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Objective: Intracranial pial arteriovenous fistulas (PAVFs) are rare vascular lesions with peculiar epidemiological, morphological, and pathophysiological characteristics. Since there is no nidus, PAVF treatment has been performed by direct disconnection of the arteriovenous communication via a surgical, endovascular, or a combined approach. We aim to outline the relevant variables to consider in planning an endovascular treatment strategy. Methods: We present a case of a 12 year old girl with a single feeder PAVF originating from the first segment (P1) of the left posterior cerebral artery with a varicose venous drainage into the right cavernous sinus. Results: We report the successful endovascular exclusion of the fistula with the release of a total of 27 detachable platinum coils with no complications at follow-up. Treatment strategy and nuances are discussed along with a review of the literature. Conclusions: Morphology, age, embolization strategies, and materials are the different variables to be analyzed in the endovascular treatment of such lesions.
AB - Objective: Intracranial pial arteriovenous fistulas (PAVFs) are rare vascular lesions with peculiar epidemiological, morphological, and pathophysiological characteristics. Since there is no nidus, PAVF treatment has been performed by direct disconnection of the arteriovenous communication via a surgical, endovascular, or a combined approach. We aim to outline the relevant variables to consider in planning an endovascular treatment strategy. Methods: We present a case of a 12 year old girl with a single feeder PAVF originating from the first segment (P1) of the left posterior cerebral artery with a varicose venous drainage into the right cavernous sinus. Results: We report the successful endovascular exclusion of the fistula with the release of a total of 27 detachable platinum coils with no complications at follow-up. Treatment strategy and nuances are discussed along with a review of the literature. Conclusions: Morphology, age, embolization strategies, and materials are the different variables to be analyzed in the endovascular treatment of such lesions.
KW - Endovascular embolization
KW - Pial arteriovenous fistula
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UR - http://www.scopus.com/inward/citedby.url?scp=84945350584&partnerID=8YFLogxK
U2 - 10.1177/1971400915589690
DO - 10.1177/1971400915589690
M3 - Article
C2 - 26246094
AN - SCOPUS:84945350584
VL - 28
SP - 268
EP - 273
JO - Neuroradiology Journal
JF - Neuroradiology Journal
SN - 1971-4009
IS - 3
ER -