Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
- Vascular Surgery
- Plastic Surgery
- Surgical Oncology
- Bariatric Surgery
- Colon and Rectal Surgery
- Emergency Surgery
- Orthopaedic Surgery
- Oral and Maxillofacial Surgery
Citation: Clin Surg. 2019;4(1):2451.Case Report | Open Access
Treatment of a Spontaneous Vertebral Artery-Vertebral Vein Arteriovenous Fistula (AVF) in a Paediatric Patient
Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, Finland
Department of Neuroradiology, University of Helsinki and Helsinki University Hospital, Finland
Background: Extracranial vertebral artery AVF are extremely rare and there is no standardized treatment for such aneurysms. Treatment of an unruptured V1-segment vertebral artery-vertebral vein fistula in a pediatric patient has rarely been described in literature. Case
Presentation: We present a case of a 6year-old child with an incidental V1-segment vertebral artery AVF. During a routine pediatric auscultation of the heart, a bruit over the supraclavicular region was heard. Initial ultrasound showed suspicion of aneurysm of vertebral artery. CT-angiogram and DSA showed a V1-segment vertebral artery fistula. The patient was treated successfully with coil embolization. The vertebral artery was spared and reconstructed successfully during embolization without any complications. The child is now 9 years old and follow-up MRI scans in 2018 showed complete occlusion 3 years after intervention.
Conclusion: Endovascular coiling sparing vertebral artery is a safe, effective, and reliable treatment modality in pediatric cases of V1-segment vertebral artery fistula with the adjacent vein.
V1-segment vertebral artery fistula; Coil embolization; Pediatric case
Cite the article
Muhammad S, Numminen J, Karppinen A, Niemel� M. Treatment of a Spontaneous Vertebral Artery-Vertebral Vein Arteriovenous Fistula (AVF) in a Paediatric Patient. Clin Surg. 2019; 4: 2451.