AI Article Synopsis
- A case report details a successful endovascular treatment for a 13-year-old girl with a rare vertebral arteriovenous fistula (AVF) caused by previous catheterization.
- A small-caliber Jostent coronary stent-graft was inserted into her vertebral artery, leading to immediate resolution of her symptoms, including tinnitus.
- The findings suggest that percutaneous repair with a stent-graft could be an effective alternative to traditional embolization techniques for similar AVFs in smaller vessels.
Article Abstract
Purpose: To describe an apparently unreported endovascular means of treating a vertebral arteriovenous fistula (AVF) using a small-caliber stent-graft to permanently reconstruct the involved vessels.
Case Report: A 13-year-old girl presented with tinnitus caused by a high-flow AVF between the right extracranial vertebral artery and deep jugular vein arising from repeated internal jugular vein catheterization. A 4-mm-diameter balloon-expandable Jostent coronary stent-graft was placed in the vertebral artery via a percutaneous femoral access, with immediate and complete obliteration of the AVF and resolution of the tinnitus. Follow-up duplex ultrasonography at 15 months demonstrated patency and luminal integrity of the vertebral artery.
Conclusions: Vertebrojugular AVFs are rare and usually treated with transcatheter embolization techniques, but percutaneous repair using a small-caliber stent-graft appears feasible. This minimally invasive treatment might become the method of choice for AVFs in other small-bore vessels.
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| http://dx.doi.org/10.1177/152660280100800511 | DOI Listing |
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