Case report: Endovascular treatment of two scalp arteriovenous malformation cases via direct percutaneous catheterization: A case series
BackgroundScalp arteriovenous malformations (AVM) are rare vascular malformations reported only in small case series. Scalp AVMs usually present with symptoms, including headache, tinnitus, epilepsy, cerebral ischemia, and necrosis of the scalp, which can cause functional, cosmetic, and psychologica...
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Frontiers Media S.A.
2022-07-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.945961/full |
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| author | Yuan Shi Yuan Shi Yuan Shi Yuan Shi Yuan Shi Peixi Liu Peixi Liu Peixi Liu Peixi Liu Peixi Liu Yingtao Liu Kai Quan Kai Quan Kai Quan Kai Quan Kai Quan Peiliang Li Peiliang Li Peiliang Li Peiliang Li Peiliang Li Zongze Li Zongze Li Zongze Li Zongze Li Zongze Li Wei Zhu Wei Zhu Wei Zhu Wei Zhu Wei Zhu Yanlong Tian Yanlong Tian Yanlong Tian Yanlong Tian Yanlong Tian |
| author_facet | Yuan Shi Yuan Shi Yuan Shi Yuan Shi Yuan Shi Peixi Liu Peixi Liu Peixi Liu Peixi Liu Peixi Liu Yingtao Liu Kai Quan Kai Quan Kai Quan Kai Quan Kai Quan Peiliang Li Peiliang Li Peiliang Li Peiliang Li Peiliang Li Zongze Li Zongze Li Zongze Li Zongze Li Zongze Li Wei Zhu Wei Zhu Wei Zhu Wei Zhu Wei Zhu Yanlong Tian Yanlong Tian Yanlong Tian Yanlong Tian Yanlong Tian |
| author_sort | Yuan Shi |
| collection | DOAJ |
| description | BackgroundScalp arteriovenous malformations (AVM) are rare vascular malformations reported only in small case series. Scalp AVMs usually present with symptoms, including headache, tinnitus, epilepsy, cerebral ischemia, and necrosis of the scalp, which can cause functional, cosmetic, and psychological problems. There are many difficulties in the treatment of scalp AVM because of its complex characteristics of vascular anatomy, non-uniform structure, and intracranial-extracranial anastomosis.Case descriptionTo illustrate the endovascular treatment of scalp AVM via direct percutaneous puncture while traditional arterial and venous approaches were not available. In this report, access was obtained through a direct puncture of the enlarged frontal vein. Onyx-18 was injected through a microcatheter to occlude draining veins, fistulous connection, and the feeders. An 18-gauge indwelling needle was inserted into draining veins directly. Postembolization angiography demonstrated complete sAVM occlusion immediately and no non-targeted embolization. At a 1-year follow-up, no procedure-related complications and evidence of recurrence were observed.ConclusionThe technique of endovascular embolization via direct percutaneous puncture approach is safe, rapid, and effective for specific sAVM. Treatment options should be made in terms of size, vascular anatomical characteristics of the lesions, patient's preference, cosmetic factors, and available expertise. |
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| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-13T20:22:25Z |
| publishDate | 2022-07-01 |
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| spelling | doaj.art-e8747165d36b4c4a8f892866966474f92022-12-22T02:31:30ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-07-011310.3389/fneur.2022.945961945961Case report: Endovascular treatment of two scalp arteriovenous malformation cases via direct percutaneous catheterization: A case seriesYuan Shi0Yuan Shi1Yuan Shi2Yuan Shi3Yuan Shi4Peixi Liu5Peixi Liu6Peixi Liu7Peixi Liu8Peixi Liu9Yingtao Liu10Kai Quan11Kai Quan12Kai Quan13Kai Quan14Kai Quan15Peiliang Li16Peiliang Li17Peiliang Li18Peiliang Li19Peiliang Li20Zongze Li21Zongze Li22Zongze Li23Zongze Li24Zongze Li25Wei Zhu26Wei Zhu27Wei Zhu28Wei Zhu29Wei Zhu30Yanlong Tian31Yanlong Tian32Yanlong Tian33Yanlong Tian34Yanlong Tian35Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, ChinaInstitute of Neurosurgery, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaShanghai Clinical Medical Center of Neurosurgery, Shanghai, ChinaShanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, ChinaDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, ChinaInstitute of Neurosurgery, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaShanghai Clinical Medical Center of Neurosurgery, Shanghai, ChinaShanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, ChinaDepartment of Radiology, Huashan Hospital, Fudan University, Shanghai, ChinaDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, ChinaInstitute of Neurosurgery, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaShanghai Clinical Medical Center of Neurosurgery, Shanghai, ChinaShanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, ChinaDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, ChinaInstitute of Neurosurgery, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaShanghai Clinical Medical Center of Neurosurgery, Shanghai, ChinaShanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, ChinaDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, ChinaInstitute of Neurosurgery, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaShanghai Clinical Medical Center of Neurosurgery, Shanghai, ChinaShanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, ChinaDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, ChinaInstitute of Neurosurgery, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaShanghai Clinical Medical Center of Neurosurgery, Shanghai, ChinaShanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, ChinaDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, ChinaInstitute of Neurosurgery, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaShanghai Clinical Medical Center of Neurosurgery, Shanghai, ChinaShanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, ChinaBackgroundScalp arteriovenous malformations (AVM) are rare vascular malformations reported only in small case series. Scalp AVMs usually present with symptoms, including headache, tinnitus, epilepsy, cerebral ischemia, and necrosis of the scalp, which can cause functional, cosmetic, and psychological problems. There are many difficulties in the treatment of scalp AVM because of its complex characteristics of vascular anatomy, non-uniform structure, and intracranial-extracranial anastomosis.Case descriptionTo illustrate the endovascular treatment of scalp AVM via direct percutaneous puncture while traditional arterial and venous approaches were not available. In this report, access was obtained through a direct puncture of the enlarged frontal vein. Onyx-18 was injected through a microcatheter to occlude draining veins, fistulous connection, and the feeders. An 18-gauge indwelling needle was inserted into draining veins directly. Postembolization angiography demonstrated complete sAVM occlusion immediately and no non-targeted embolization. At a 1-year follow-up, no procedure-related complications and evidence of recurrence were observed.ConclusionThe technique of endovascular embolization via direct percutaneous puncture approach is safe, rapid, and effective for specific sAVM. Treatment options should be made in terms of size, vascular anatomical characteristics of the lesions, patient's preference, cosmetic factors, and available expertise.https://www.frontiersin.org/articles/10.3389/fneur.2022.945961/fullscalp arteriovenous malformationscalp arteriovenous fistulaendovascular embolizationdirect percutaneous puncturecase report |
| spellingShingle | Yuan Shi Yuan Shi Yuan Shi Yuan Shi Yuan Shi Peixi Liu Peixi Liu Peixi Liu Peixi Liu Peixi Liu Yingtao Liu Kai Quan Kai Quan Kai Quan Kai Quan Kai Quan Peiliang Li Peiliang Li Peiliang Li Peiliang Li Peiliang Li Zongze Li Zongze Li Zongze Li Zongze Li Zongze Li Wei Zhu Wei Zhu Wei Zhu Wei Zhu Wei Zhu Yanlong Tian Yanlong Tian Yanlong Tian Yanlong Tian Yanlong Tian Case report: Endovascular treatment of two scalp arteriovenous malformation cases via direct percutaneous catheterization: A case series Frontiers in Neurology scalp arteriovenous malformation scalp arteriovenous fistula endovascular embolization direct percutaneous puncture case report |
| title | Case report: Endovascular treatment of two scalp arteriovenous malformation cases via direct percutaneous catheterization: A case series |
| title_full | Case report: Endovascular treatment of two scalp arteriovenous malformation cases via direct percutaneous catheterization: A case series |
| title_fullStr | Case report: Endovascular treatment of two scalp arteriovenous malformation cases via direct percutaneous catheterization: A case series |
| title_full_unstemmed | Case report: Endovascular treatment of two scalp arteriovenous malformation cases via direct percutaneous catheterization: A case series |
| title_short | Case report: Endovascular treatment of two scalp arteriovenous malformation cases via direct percutaneous catheterization: A case series |
| title_sort | case report endovascular treatment of two scalp arteriovenous malformation cases via direct percutaneous catheterization a case series |
| topic | scalp arteriovenous malformation scalp arteriovenous fistula endovascular embolization direct percutaneous puncture case report |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.945961/full |
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