Sacral Dural Arteriovenous Fistulas, a Rare and Underdiagnosed Subtype of Spinal Dural Arteriovenous Fistulas: A Case Series with Review of Literature
Spinal Dural Arteriovenous Fistulas (SDAVFs) are the most common type of spinal vascular malformations with arterial feeders usually from the intercostals, vertebral, subclavian and lumbar arteries and rarely from the internal iliac arteries. Authors report three cases of SDAVFs at our institution w...
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| Format: | Article |
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JCDR Research and Publications Private Limited
2022-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/15905/51659_CE[Ra1]_F(SHU)_PF1(AG_SL)_PFA(AG_KM)_PN(KM).pdf |
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| author | Sarvesh Chandra Mishra Vivek Singh Srishti Sharma Pragya Chaturvedi Vikrant Mahajan |
| author_facet | Sarvesh Chandra Mishra Vivek Singh Srishti Sharma Pragya Chaturvedi Vikrant Mahajan |
| author_sort | Sarvesh Chandra Mishra |
| collection | DOAJ |
| description | Spinal Dural Arteriovenous Fistulas (SDAVFs) are the most common type of spinal vascular malformations with arterial feeders usually from the intercostals, vertebral, subclavian and lumbar arteries and rarely from the internal iliac arteries. Authors report three cases of SDAVFs at our institution where arterial feeders were from internal iliac artery. The endovascular embolisation of arterial feeders was done using n-BCA (n-butyl cyanoacrylate) embolic agent in one case and with Ethylene Vinyl Alcohol (Onyx) in two cases with complete obliteration of the fistula. This resulted in marked clinical improvement in all the patients. The lateral sacral arteries are not a common site of origin of arterial feeders to the SDAVFs and can be easily overlooked if thorough spinal Digital Subtraction Angiography (DSA) is not performed. Through these three cases, authors want to highlight the importance of performing complete spinal DSA. |
| first_indexed | 2024-04-10T19:04:56Z |
| format | Article |
| id | doaj.art-c7cc0f4bdac3496d96712a27b010acd0 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T19:04:56Z |
| publishDate | 2022-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-c7cc0f4bdac3496d96712a27b010acd02023-01-31T04:46:32ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-01-01161TR01TR0410.7860/JCDR/2022/51659.15905Sacral Dural Arteriovenous Fistulas, a Rare and Underdiagnosed Subtype of Spinal Dural Arteriovenous Fistulas: A Case Series with Review of LiteratureSarvesh Chandra Mishra0Vivek Singh1Srishti Sharma2Pragya Chaturvedi3Vikrant Mahajan4Senior Resident, Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.Additional Professor, Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.Senior Resident, Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.Senior Resident, Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.Senior Resident, Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.Spinal Dural Arteriovenous Fistulas (SDAVFs) are the most common type of spinal vascular malformations with arterial feeders usually from the intercostals, vertebral, subclavian and lumbar arteries and rarely from the internal iliac arteries. Authors report three cases of SDAVFs at our institution where arterial feeders were from internal iliac artery. The endovascular embolisation of arterial feeders was done using n-BCA (n-butyl cyanoacrylate) embolic agent in one case and with Ethylene Vinyl Alcohol (Onyx) in two cases with complete obliteration of the fistula. This resulted in marked clinical improvement in all the patients. The lateral sacral arteries are not a common site of origin of arterial feeders to the SDAVFs and can be easily overlooked if thorough spinal Digital Subtraction Angiography (DSA) is not performed. Through these three cases, authors want to highlight the importance of performing complete spinal DSA.https://www.jcdr.net/articles/PDF/15905/51659_CE[Ra1]_F(SHU)_PF1(AG_SL)_PFA(AG_KM)_PN(KM).pdfendovascular embolisationinternal iliac arteryspinal vascular malformation |
| spellingShingle | Sarvesh Chandra Mishra Vivek Singh Srishti Sharma Pragya Chaturvedi Vikrant Mahajan Sacral Dural Arteriovenous Fistulas, a Rare and Underdiagnosed Subtype of Spinal Dural Arteriovenous Fistulas: A Case Series with Review of Literature Journal of Clinical and Diagnostic Research endovascular embolisation internal iliac artery spinal vascular malformation |
| title | Sacral Dural Arteriovenous Fistulas, a Rare and Underdiagnosed Subtype of Spinal Dural Arteriovenous Fistulas: A Case Series with Review of Literature |
| title_full | Sacral Dural Arteriovenous Fistulas, a Rare and Underdiagnosed Subtype of Spinal Dural Arteriovenous Fistulas: A Case Series with Review of Literature |
| title_fullStr | Sacral Dural Arteriovenous Fistulas, a Rare and Underdiagnosed Subtype of Spinal Dural Arteriovenous Fistulas: A Case Series with Review of Literature |
| title_full_unstemmed | Sacral Dural Arteriovenous Fistulas, a Rare and Underdiagnosed Subtype of Spinal Dural Arteriovenous Fistulas: A Case Series with Review of Literature |
| title_short | Sacral Dural Arteriovenous Fistulas, a Rare and Underdiagnosed Subtype of Spinal Dural Arteriovenous Fistulas: A Case Series with Review of Literature |
| title_sort | sacral dural arteriovenous fistulas a rare and underdiagnosed subtype of spinal dural arteriovenous fistulas a case series with review of literature |
| topic | endovascular embolisation internal iliac artery spinal vascular malformation |
| url | https://www.jcdr.net/articles/PDF/15905/51659_CE[Ra1]_F(SHU)_PF1(AG_SL)_PFA(AG_KM)_PN(KM).pdf |
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