Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula

Abstract Background Scalp arteriovenous fistula (sAVF) is a rare vascular disease; so far, the standard guidelines for the treatment of sAVF are still unclear. Since its complex vascular anatomical structure, surgical management of sAVF remains an enormous challenge. Methods Between March 2016 and O...

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Main Authors: Jianfeng Zheng, Zongduo Guo, Xiaodong Zhang, Xiaochuan Sun
Format: Article
Language:English
Published: BMC 2019-01-01
Series:Chinese Neurosurgical Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41016-018-0148-1
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author Jianfeng Zheng
Zongduo Guo
Xiaodong Zhang
Xiaochuan Sun
author_facet Jianfeng Zheng
Zongduo Guo
Xiaodong Zhang
Xiaochuan Sun
author_sort Jianfeng Zheng
collection DOAJ
description Abstract Background Scalp arteriovenous fistula (sAVF) is a rare vascular disease; so far, the standard guidelines for the treatment of sAVF are still unclear. Since its complex vascular anatomical structure, surgical management of sAVF remains an enormous challenge. Methods Between March 2016 and October 2017, three patients with sAVF admitted to the First Affiliated Hospital of Chongqing Medical University were reviewed, and clinical characteristics, imaging features, and surgical outcomes were analyzed. Results Three consecutive patients with sAVF were admitted to our hospital during the study period. Two patients received intravascular embolization and one patient received surgical resection. No procedure-related complications occurred after successfully treatment. During the long-term follow-up period, three patients recovered well and had no recurrence of lesion. Conclusions Either intravascular embolization or surgical resection is an effective therapy method for sAVF. Careful identification of angioarchitecture features contributes to successful treatment for the complex sAVF; therefore, it is recommended that neurosurgeons make the best treatment plan based on the location and number of the fistulas, feeding the artery, and draining the vein.
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spelling doaj.art-82bf04d618604a588f3ca1ed88e32b912022-12-22T00:31:07ZengBMCChinese Neurosurgical Journal2057-49672019-01-01511710.1186/s41016-018-0148-1Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistulaJianfeng Zheng0Zongduo Guo1Xiaodong Zhang2Xiaochuan Sun3Department of Neurosurgery, the First Affiliated Hospital of Chongqing Medical UniversityDepartment of Neurosurgery, the First Affiliated Hospital of Chongqing Medical UniversityDepartment of Neurosurgery, the First Affiliated Hospital of Chongqing Medical UniversityDepartment of Neurosurgery, the First Affiliated Hospital of Chongqing Medical UniversityAbstract Background Scalp arteriovenous fistula (sAVF) is a rare vascular disease; so far, the standard guidelines for the treatment of sAVF are still unclear. Since its complex vascular anatomical structure, surgical management of sAVF remains an enormous challenge. Methods Between March 2016 and October 2017, three patients with sAVF admitted to the First Affiliated Hospital of Chongqing Medical University were reviewed, and clinical characteristics, imaging features, and surgical outcomes were analyzed. Results Three consecutive patients with sAVF were admitted to our hospital during the study period. Two patients received intravascular embolization and one patient received surgical resection. No procedure-related complications occurred after successfully treatment. During the long-term follow-up period, three patients recovered well and had no recurrence of lesion. Conclusions Either intravascular embolization or surgical resection is an effective therapy method for sAVF. Careful identification of angioarchitecture features contributes to successful treatment for the complex sAVF; therefore, it is recommended that neurosurgeons make the best treatment plan based on the location and number of the fistulas, feeding the artery, and draining the vein.http://link.springer.com/article/10.1186/s41016-018-0148-1Scalp arteriovenous fistulaIntravascular embolizationSurgical resection
spellingShingle Jianfeng Zheng
Zongduo Guo
Xiaodong Zhang
Xiaochuan Sun
Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
Chinese Neurosurgical Journal
Scalp arteriovenous fistula
Intravascular embolization
Surgical resection
title Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
title_full Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
title_fullStr Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
title_full_unstemmed Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
title_short Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
title_sort intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula
topic Scalp arteriovenous fistula
Intravascular embolization
Surgical resection
url http://link.springer.com/article/10.1186/s41016-018-0148-1
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AT zongduoguo intravascularembolizationversussurgicalresectionforpatientswithscalparteriovenousfistula
AT xiaodongzhang intravascularembolizationversussurgicalresectionforpatientswithscalparteriovenousfistula
AT xiaochuansun intravascularembolizationversussurgicalresectionforpatientswithscalparteriovenousfistula