Endovascular and surgical approaches of iatrogenic vertebrovertebral arteriovenous fistula.

• 发表时间: Jun 2021
• 来源期刊: J Vasc Surg Cases Innov Tech
• DOI: 10.1016/j.jvscit.2020.12.019
• PMID: 33997554
• 文章类型: Case Reports
• 作者列表: He H,Li Q,Du M,Chen K,Li X,Li J,Shu C

关键词: Endovascular surgery; Open surgery; Vertebrovertebral arteriovenous fistula

Abstract

Vertebrovertebral arteriovenous fistula is an uncommon vascular disease with no clear management guidelines. It is most commonly caused by iatrogenic injury. We have presented the details of two iatrogenic cases and a review to discuss strategies for endovascular and surgical approaches. From the digital subtraction angiography findings, the vertebrovertebral arteriovenous fistulas were occluded by endovascular coil positioning (patient 1) and surgical ligation of the fistulas (patient 2). Although endovascular approaches are increasing in popularity and considered well-tolerated treatments, open surgical treatment is still reserved for the most complex cases and those not feasible for endovascular treatment.