Transarterial embolization of radicular arteriovenous fistula at the craniocervical junction

Craniocervical junction arteriovenous fistula (CCJ AVF) is a rare vascular disorder. Direct surgery for CCJ AVF is generally reported to have better outcome compared to endovascular treatment. However, no certain consensus has been obtained so far. We report a case of radicular CCJ AVF treated by tr...

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Main Authors: Songhyon Lee, Masaaki Kubota, Yosuke Tajima, Iori Kojima, Yoshinori Higuchi
Format: Article
Language:English
Published: Elsevier 2024-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324000505
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author Songhyon Lee
Masaaki Kubota
Yosuke Tajima
Iori Kojima
Yoshinori Higuchi
author_facet Songhyon Lee
Masaaki Kubota
Yosuke Tajima
Iori Kojima
Yoshinori Higuchi
author_sort Songhyon Lee
collection DOAJ
description Craniocervical junction arteriovenous fistula (CCJ AVF) is a rare vascular disorder. Direct surgery for CCJ AVF is generally reported to have better outcome compared to endovascular treatment. However, no certain consensus has been obtained so far. We report a case of radicular CCJ AVF treated by transarterial embolization that resulted in a good outcome. A 69-year-old man presented with subarachnoid hemorrhage primarily in the posterior cranial fossa. Based on digital subtraction angiography showed radicular CCJ AVF with varix. Transarterial embolization was performed with n-butyl-2-cyanoacrylate on day 17 after onset and successfully cured. The neurovascular anatomy of CCJ AVF is complicated, but endovascular treatment may be a treatment option with detailed understanding of angioarchitecture and selective endovascular procedure.
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spelling doaj.art-c85ef8fe981c4a59aa573129a9fe9f892024-03-10T05:11:42ZengElsevierRadiology Case Reports1930-04332024-05-0119517121717Transarterial embolization of radicular arteriovenous fistula at the craniocervical junctionSonghyon Lee0Masaaki Kubota1Yosuke Tajima2Iori Kojima3Yoshinori Higuchi4Department of Neurological Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan; Department of Neurosurgery, Narita Red Cross Hospital, Chiba, Japan; Corresponding author.Department of Neurological Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Neurological Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Neurological Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanDepartment of Neurological Surgery, Graduate School of Medicine, Chiba University, Chiba, JapanCraniocervical junction arteriovenous fistula (CCJ AVF) is a rare vascular disorder. Direct surgery for CCJ AVF is generally reported to have better outcome compared to endovascular treatment. However, no certain consensus has been obtained so far. We report a case of radicular CCJ AVF treated by transarterial embolization that resulted in a good outcome. A 69-year-old man presented with subarachnoid hemorrhage primarily in the posterior cranial fossa. Based on digital subtraction angiography showed radicular CCJ AVF with varix. Transarterial embolization was performed with n-butyl-2-cyanoacrylate on day 17 after onset and successfully cured. The neurovascular anatomy of CCJ AVF is complicated, but endovascular treatment may be a treatment option with detailed understanding of angioarchitecture and selective endovascular procedure.http://www.sciencedirect.com/science/article/pii/S1930043324000505Radicular AVFCCJTAESelective angiography
spellingShingle Songhyon Lee
Masaaki Kubota
Yosuke Tajima
Iori Kojima
Yoshinori Higuchi
Transarterial embolization of radicular arteriovenous fistula at the craniocervical junction
Radiology Case Reports
Radicular AVF
CCJ
TAE
Selective angiography
title Transarterial embolization of radicular arteriovenous fistula at the craniocervical junction
title_full Transarterial embolization of radicular arteriovenous fistula at the craniocervical junction
title_fullStr Transarterial embolization of radicular arteriovenous fistula at the craniocervical junction
title_full_unstemmed Transarterial embolization of radicular arteriovenous fistula at the craniocervical junction
title_short Transarterial embolization of radicular arteriovenous fistula at the craniocervical junction
title_sort transarterial embolization of radicular arteriovenous fistula at the craniocervical junction
topic Radicular AVF
CCJ
TAE
Selective angiography
url http://www.sciencedirect.com/science/article/pii/S1930043324000505
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