Vertebro-Vertebral Fistula Occlusion Using a Woven EndoBridge-Device
Vertebro-vertebral fistulas (VVFs) are vascular lesions that may develop after trauma or spontaneously in association with connective tissue disorders. We present a rare case of a post-traumatic VVF in a young patient presenting with a painless swelling and a bruit in her left upper neck. Digital su...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Interventional Neuroradiology
2023-11-01
|
| Series: | Neurointervention |
| Subjects: | |
| Online Access: | http://neurointervention.org/upload/pdf/neuroint-2023-00430.pdf |
| _version_ | 1827360395783831552 |
|---|---|
| author | Rasmus Holmboe Dahl Mohammad Ghasemi-Rad Vagn Eskesen Susanne Christiansen Frevert Christine Sølling Goetz Benndorf |
| author_facet | Rasmus Holmboe Dahl Mohammad Ghasemi-Rad Vagn Eskesen Susanne Christiansen Frevert Christine Sølling Goetz Benndorf |
| author_sort | Rasmus Holmboe Dahl |
| collection | DOAJ |
| description | Vertebro-vertebral fistulas (VVFs) are vascular lesions that may develop after trauma or spontaneously in association with connective tissue disorders. We present a rare case of a post-traumatic VVF in a young patient presenting with a painless swelling and a bruit in her left upper neck. Digital subtraction angiography showed an arteriovenous fistula between the left vertebral artery (VA) and the vertebral venous plexus with significant steal phenomenon. Endovascular therapy was performed using a Woven EndoBridgeTM (WEB)-device combined with coils that allowed preservation of the VA. The patient fully recovered from her symptoms and follow-up imaging showed stable occlusion. In conclusion, VVFs can be effectively treated using intrasaccular flow diverters such as the WEB-device, allowing for complete and stable occlusion while preserving the parent artery. |
| first_indexed | 2024-03-08T06:46:35Z |
| format | Article |
| id | doaj.art-d34b1f7f10a7461e83929a303fa0e18b |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T06:46:35Z |
| publishDate | 2023-11-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-d34b1f7f10a7461e83929a303fa0e18b2024-02-03T07:57:37ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732023-11-0118320020310.5469/neuroint.2023.00430411Vertebro-Vertebral Fistula Occlusion Using a Woven EndoBridge-DeviceRasmus Holmboe Dahl0Mohammad Ghasemi-Rad1Vagn Eskesen2Susanne Christiansen Frevert3Christine Sølling4Goetz Benndorf5 Department of Radiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark Department of Radiology, Baylor College of Medicine, Houston, TX, USA Department of Neurosurgery, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark Department of Radiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark Department of Neuroanaesthesiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark Department of Radiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkVertebro-vertebral fistulas (VVFs) are vascular lesions that may develop after trauma or spontaneously in association with connective tissue disorders. We present a rare case of a post-traumatic VVF in a young patient presenting with a painless swelling and a bruit in her left upper neck. Digital subtraction angiography showed an arteriovenous fistula between the left vertebral artery (VA) and the vertebral venous plexus with significant steal phenomenon. Endovascular therapy was performed using a Woven EndoBridgeTM (WEB)-device combined with coils that allowed preservation of the VA. The patient fully recovered from her symptoms and follow-up imaging showed stable occlusion. In conclusion, VVFs can be effectively treated using intrasaccular flow diverters such as the WEB-device, allowing for complete and stable occlusion while preserving the parent artery.http://neurointervention.org/upload/pdf/neuroint-2023-00430.pdftherapeutic embolizationvertebral arteryarteriovenous fistulaweb-devicewoven endobridge-device |
| spellingShingle | Rasmus Holmboe Dahl Mohammad Ghasemi-Rad Vagn Eskesen Susanne Christiansen Frevert Christine Sølling Goetz Benndorf Vertebro-Vertebral Fistula Occlusion Using a Woven EndoBridge-Device Neurointervention therapeutic embolization vertebral artery arteriovenous fistula web-device woven endobridge-device |
| title | Vertebro-Vertebral Fistula Occlusion Using a Woven EndoBridge-Device |
| title_full | Vertebro-Vertebral Fistula Occlusion Using a Woven EndoBridge-Device |
| title_fullStr | Vertebro-Vertebral Fistula Occlusion Using a Woven EndoBridge-Device |
| title_full_unstemmed | Vertebro-Vertebral Fistula Occlusion Using a Woven EndoBridge-Device |
| title_short | Vertebro-Vertebral Fistula Occlusion Using a Woven EndoBridge-Device |
| title_sort | vertebro vertebral fistula occlusion using a woven endobridge device |
| topic | therapeutic embolization vertebral artery arteriovenous fistula web-device woven endobridge-device |
| url | http://neurointervention.org/upload/pdf/neuroint-2023-00430.pdf |
| work_keys_str_mv | AT rasmusholmboedahl vertebrovertebralfistulaocclusionusingawovenendobridgedevice AT mohammadghasemirad vertebrovertebralfistulaocclusionusingawovenendobridgedevice AT vagneskesen vertebrovertebralfistulaocclusionusingawovenendobridgedevice AT susannechristiansenfrevert vertebrovertebralfistulaocclusionusingawovenendobridgedevice AT christinesølling vertebrovertebralfistulaocclusionusingawovenendobridgedevice AT goetzbenndorf vertebrovertebralfistulaocclusionusingawovenendobridgedevice |