| Giant perimedullary arteriovenous fistulas of the spine: clinical and radiologic features and endovascular treatment. | |
| | |
MedLine Citation:
|
PMID: 9127029 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To present the clinical and radiologic features of giant perimedullary arteriovenous fistulas (GAVFs) in 12 consecutive cases and to evaluate the results of endovascular treatment. METHODS: We retrospectively reviewed the clinical and radiologic data as well as the results of balloon endovascular treatment obtained from 1980 to 1989. RESULTS: GAVFs, defined as large intradural perimedullary direct arteriovenous high-flow shunts, are revealed mainly in childhood either by subarachnoid hemorrhage or by progressive neurologic disorders. MR imaging and myelography show major vascular dilatations. The angioarchitecture of GAVFs can only be assessed by selective spinal angiography. Ten patients were treated by balloon occlusion resulting in eight anatomic cures and six good clinical results. One balloon migrated to the venous side, leading to clinical deterioration. CONCLUSION: GAVF is a special subgroup of intradural perimedullary arteriovenous fistula. The endovascular approach should be the first line of treatment, with surgery reserved for special circumstances. Nondetachable balloon occlusion is a safe and efficient method for treating GAVFs. |
| | |
Authors:
|
F Ricolfi; P Y Gobin; A Aymard; F Brunelle; A Gaston; J J Merland |
Related Documents
:
|
16630919 - Intracranial dural arteriovenous fistula associated with progressive cervical myelopath... 6129589 - Experiences in the endovascular treatment of cerebral arteriovenous angiomas. 17712739 - Progressive unilateral hemispheric atrophy in an infant with neurofibromatosis. 19406669 - Covered stent to treat pulmonary arteriovenous malformation with short feeding artery. 17353329 - Percutaneous direct puncture glue embolization of high-flow craniofacial arteriovenous ... 6601389 - Embolization of arteriovenous malformations by direct percutaneous puncture. 7121169 - Carotid rupture and tissue coverage. 1729509 - Tapering of intussuscepted ileal nipple valve or ileocecal valve to correct secondary i... 22266589 - Evaluation of central vein sizes in patients with autogenous hemodialysis fistulas. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: AJNR. American journal of neuroradiology Volume: 18 ISSN: 0195-6108 ISO Abbreviation: AJNR Am J Neuroradiol Publication Date: 1997 Apr |
Date Detail:
|
Created Date: 1997-06-24 Completed Date: 1997-06-24 Revised Date: 2008-02-14 |
Medline Journal Info:
|
Nlm Unique ID: 8003708 Medline TA: AJNR Am J Neuroradiol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 677-87 Citation Subset: IM |
Affiliation:
|
Service de Neuroradiologie, Hôpital Henri Mondor, Cretéil, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Angiography Arteriovenous Fistula / complications, pathology*, radiography, therapy Child Child, Preschool Embolization, Therapeutic* / adverse effects, instrumentation, methods Female Foreign-Body Migration / etiology Humans Infant Magnetic Resonance Imaging Male Myelography Paralysis / etiology Paresis / etiology Retrospective Studies Safety Spinal Cord / blood supply* Subarachnoid Hemorrhage / etiology Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Initial experience with collagen-filled Guglielmi detachable coils for endovascular treatment of exp...
Next Document: Scanning electron microscopic findings in a basilar tip aneurysm embolized with Guglielmi detachable...