High flow pial arteriovenous fistula with dural sinus malformation of the posterior circulation
Posterior fossa congenital pial arteriovenous fistulas are rare vascular anomalies associated with high morbidity. These anomalies often present challenges to neurointerventionists due to their complex morphological features. We successfully treated two technically challenging, infratentorial large...
Gespeichert in:
| Veröffentlicht in: | Child's nervous system 2024-12, Vol.40 (12), p.4375-4380 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 4380 |
|---|---|
| container_issue | 12 |
| container_start_page | 4375 |
| container_title | Child's nervous system |
| container_volume | 40 |
| creator | Reddy, Nikhila Gaikwad, Shailesh B. Jain, Savyasachi Charan, Bheru Dan Shah, Shariq Ahmad |
| description | Posterior fossa congenital pial arteriovenous fistulas are rare vascular anomalies associated with high morbidity. These anomalies often present challenges to neurointerventionists due to their complex morphological features. We successfully treated two technically challenging, infratentorial large pial arteriovenous fistulas (AVFs) associated with complete flow steal in the basilar artery. The first case involved an 18-year-old male with a posterior fossa single-hole AVF characterized by dilated venous pouches and retrograde venous reflux. After an unsuccessful initial coiling attempt, this patient was treated using a double microcatheter coiling technique, supported by a large balloon for flow control. The second case involved a 9-month-old infant with a complex two-hole posterior fossa pial AVF and a large venous sac. This patient was treated with coil embolization of the fistula and with balloon protection of the vertebrobasilar junction. Both patients recovered without postoperative complications and showed significant improvement on follow-up. These cases provide valuable insights into the management and characteristics of pial arteriovenous fistulas. |
| doi_str_mv | 10.1007/s00381-024-06650-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3122629184</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3122629184</sourcerecordid><originalsourceid>FETCH-LOGICAL-c228t-2781f4251fe07025d382c4df6471286757918806a556657fc1a143229f199943</originalsourceid><addsrcrecordid>eNp9kLtOwzAUhi0EoqXwAgzII4vh2E5iZ0QVUKRKLN0tk9itqyQOdgLq2-NeYGQ6w3_R-T-Ebik8UADxGAG4pARYRqAociC7MzSlGecEeA7naAosL4iADCboKsYtAM0lKy_RhJeZACHKKVILt95g2_hv3DvdYB0GE5z_Mp0fI7YuDmOj8bcbNrgeQzJE1yWh1Y31odWD8x32Fg8bg3sfD9mAKxeqFNuL1-jC6iaam9OdodXL82q-IMv317f505JUjMmBMCGpzVhOrQGR3q65ZFVW2yITlMlC5KKkUkKh8zwtFbaiOg1lrLS0LMuMz9D9sbYP_nM0cVCti5VpGt2ZNERxyljBUsfeyo7WKvgYg7GqD67VYacoqD1XdeSqEld14Kp2KXR36h8_WlP_RX5BJgM_GmKSurUJauvH0KXJ_9X-AKJGg4w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3122629184</pqid></control><display><type>article</type><title>High flow pial arteriovenous fistula with dural sinus malformation of the posterior circulation</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Reddy, Nikhila ; Gaikwad, Shailesh B. ; Jain, Savyasachi ; Charan, Bheru Dan ; Shah, Shariq Ahmad</creator><creatorcontrib>Reddy, Nikhila ; Gaikwad, Shailesh B. ; Jain, Savyasachi ; Charan, Bheru Dan ; Shah, Shariq Ahmad</creatorcontrib><description>Posterior fossa congenital pial arteriovenous fistulas are rare vascular anomalies associated with high morbidity. These anomalies often present challenges to neurointerventionists due to their complex morphological features. We successfully treated two technically challenging, infratentorial large pial arteriovenous fistulas (AVFs) associated with complete flow steal in the basilar artery. The first case involved an 18-year-old male with a posterior fossa single-hole AVF characterized by dilated venous pouches and retrograde venous reflux. After an unsuccessful initial coiling attempt, this patient was treated using a double microcatheter coiling technique, supported by a large balloon for flow control. The second case involved a 9-month-old infant with a complex two-hole posterior fossa pial AVF and a large venous sac. This patient was treated with coil embolization of the fistula and with balloon protection of the vertebrobasilar junction. Both patients recovered without postoperative complications and showed significant improvement on follow-up. These cases provide valuable insights into the management and characteristics of pial arteriovenous fistulas.</description><identifier>ISSN: 0256-7040</identifier><identifier>ISSN: 1433-0350</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-024-06650-y</identifier><identifier>PMID: 39470779</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Arteriovenous Fistula - diagnostic imaging ; Arteriovenous Fistula - surgery ; Arteriovenous Fistula - therapy ; Case Report ; Central Nervous System Vascular Malformations - diagnostic imaging ; Central Nervous System Vascular Malformations - surgery ; Central Nervous System Vascular Malformations - therapy ; Cerebral Angiography ; Cranial Sinuses - abnormalities ; Cranial Sinuses - diagnostic imaging ; Cranial Sinuses - surgery ; Embolization, Therapeutic - methods ; Humans ; Infant ; Intracranial Arteriovenous Malformations - diagnostic imaging ; Intracranial Arteriovenous Malformations - surgery ; Intracranial Arteriovenous Malformations - therapy ; Male ; Medicine ; Medicine & Public Health ; Neurosciences ; Neurosurgery ; Pia Mater - blood supply ; Pia Mater - diagnostic imaging</subject><ispartof>Child's nervous system, 2024-12, Vol.40 (12), p.4375-4380</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c228t-2781f4251fe07025d382c4df6471286757918806a556657fc1a143229f199943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00381-024-06650-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00381-024-06650-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39470779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reddy, Nikhila</creatorcontrib><creatorcontrib>Gaikwad, Shailesh B.</creatorcontrib><creatorcontrib>Jain, Savyasachi</creatorcontrib><creatorcontrib>Charan, Bheru Dan</creatorcontrib><creatorcontrib>Shah, Shariq Ahmad</creatorcontrib><title>High flow pial arteriovenous fistula with dural sinus malformation of the posterior circulation</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><addtitle>Childs Nerv Syst</addtitle><description>Posterior fossa congenital pial arteriovenous fistulas are rare vascular anomalies associated with high morbidity. These anomalies often present challenges to neurointerventionists due to their complex morphological features. We successfully treated two technically challenging, infratentorial large pial arteriovenous fistulas (AVFs) associated with complete flow steal in the basilar artery. The first case involved an 18-year-old male with a posterior fossa single-hole AVF characterized by dilated venous pouches and retrograde venous reflux. After an unsuccessful initial coiling attempt, this patient was treated using a double microcatheter coiling technique, supported by a large balloon for flow control. The second case involved a 9-month-old infant with a complex two-hole posterior fossa pial AVF and a large venous sac. This patient was treated with coil embolization of the fistula and with balloon protection of the vertebrobasilar junction. Both patients recovered without postoperative complications and showed significant improvement on follow-up. These cases provide valuable insights into the management and characteristics of pial arteriovenous fistulas.</description><subject>Adolescent</subject><subject>Arteriovenous Fistula - diagnostic imaging</subject><subject>Arteriovenous Fistula - surgery</subject><subject>Arteriovenous Fistula - therapy</subject><subject>Case Report</subject><subject>Central Nervous System Vascular Malformations - diagnostic imaging</subject><subject>Central Nervous System Vascular Malformations - surgery</subject><subject>Central Nervous System Vascular Malformations - therapy</subject><subject>Cerebral Angiography</subject><subject>Cranial Sinuses - abnormalities</subject><subject>Cranial Sinuses - diagnostic imaging</subject><subject>Cranial Sinuses - surgery</subject><subject>Embolization, Therapeutic - methods</subject><subject>Humans</subject><subject>Infant</subject><subject>Intracranial Arteriovenous Malformations - diagnostic imaging</subject><subject>Intracranial Arteriovenous Malformations - surgery</subject><subject>Intracranial Arteriovenous Malformations - therapy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Pia Mater - blood supply</subject><subject>Pia Mater - diagnostic imaging</subject><issn>0256-7040</issn><issn>1433-0350</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kLtOwzAUhi0EoqXwAgzII4vh2E5iZ0QVUKRKLN0tk9itqyQOdgLq2-NeYGQ6w3_R-T-Ebik8UADxGAG4pARYRqAociC7MzSlGecEeA7naAosL4iADCboKsYtAM0lKy_RhJeZACHKKVILt95g2_hv3DvdYB0GE5z_Mp0fI7YuDmOj8bcbNrgeQzJE1yWh1Y31odWD8x32Fg8bg3sfD9mAKxeqFNuL1-jC6iaam9OdodXL82q-IMv317f505JUjMmBMCGpzVhOrQGR3q65ZFVW2yITlMlC5KKkUkKh8zwtFbaiOg1lrLS0LMuMz9D9sbYP_nM0cVCti5VpGt2ZNERxyljBUsfeyo7WKvgYg7GqD67VYacoqD1XdeSqEld14Kp2KXR36h8_WlP_RX5BJgM_GmKSurUJauvH0KXJ_9X-AKJGg4w</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Reddy, Nikhila</creator><creator>Gaikwad, Shailesh B.</creator><creator>Jain, Savyasachi</creator><creator>Charan, Bheru Dan</creator><creator>Shah, Shariq Ahmad</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20241201</creationdate><title>High flow pial arteriovenous fistula with dural sinus malformation of the posterior circulation</title><author>Reddy, Nikhila ; Gaikwad, Shailesh B. ; Jain, Savyasachi ; Charan, Bheru Dan ; Shah, Shariq Ahmad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c228t-2781f4251fe07025d382c4df6471286757918806a556657fc1a143229f199943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Arteriovenous Fistula - diagnostic imaging</topic><topic>Arteriovenous Fistula - surgery</topic><topic>Arteriovenous Fistula - therapy</topic><topic>Case Report</topic><topic>Central Nervous System Vascular Malformations - diagnostic imaging</topic><topic>Central Nervous System Vascular Malformations - surgery</topic><topic>Central Nervous System Vascular Malformations - therapy</topic><topic>Cerebral Angiography</topic><topic>Cranial Sinuses - abnormalities</topic><topic>Cranial Sinuses - diagnostic imaging</topic><topic>Cranial Sinuses - surgery</topic><topic>Embolization, Therapeutic - methods</topic><topic>Humans</topic><topic>Infant</topic><topic>Intracranial Arteriovenous Malformations - diagnostic imaging</topic><topic>Intracranial Arteriovenous Malformations - surgery</topic><topic>Intracranial Arteriovenous Malformations - therapy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Pia Mater - blood supply</topic><topic>Pia Mater - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reddy, Nikhila</creatorcontrib><creatorcontrib>Gaikwad, Shailesh B.</creatorcontrib><creatorcontrib>Jain, Savyasachi</creatorcontrib><creatorcontrib>Charan, Bheru Dan</creatorcontrib><creatorcontrib>Shah, Shariq Ahmad</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reddy, Nikhila</au><au>Gaikwad, Shailesh B.</au><au>Jain, Savyasachi</au><au>Charan, Bheru Dan</au><au>Shah, Shariq Ahmad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High flow pial arteriovenous fistula with dural sinus malformation of the posterior circulation</atitle><jtitle>Child's nervous system</jtitle><stitle>Childs Nerv Syst</stitle><addtitle>Childs Nerv Syst</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>40</volume><issue>12</issue><spage>4375</spage><epage>4380</epage><pages>4375-4380</pages><issn>0256-7040</issn><issn>1433-0350</issn><eissn>1433-0350</eissn><abstract>Posterior fossa congenital pial arteriovenous fistulas are rare vascular anomalies associated with high morbidity. These anomalies often present challenges to neurointerventionists due to their complex morphological features. We successfully treated two technically challenging, infratentorial large pial arteriovenous fistulas (AVFs) associated with complete flow steal in the basilar artery. The first case involved an 18-year-old male with a posterior fossa single-hole AVF characterized by dilated venous pouches and retrograde venous reflux. After an unsuccessful initial coiling attempt, this patient was treated using a double microcatheter coiling technique, supported by a large balloon for flow control. The second case involved a 9-month-old infant with a complex two-hole posterior fossa pial AVF and a large venous sac. This patient was treated with coil embolization of the fistula and with balloon protection of the vertebrobasilar junction. Both patients recovered without postoperative complications and showed significant improvement on follow-up. These cases provide valuable insights into the management and characteristics of pial arteriovenous fistulas.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39470779</pmid><doi>10.1007/s00381-024-06650-y</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0256-7040 |
| ispartof | Child's nervous system, 2024-12, Vol.40 (12), p.4375-4380 |
| issn | 0256-7040 1433-0350 1433-0350 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3122629184 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Arteriovenous Fistula - diagnostic imaging Arteriovenous Fistula - surgery Arteriovenous Fistula - therapy Case Report Central Nervous System Vascular Malformations - diagnostic imaging Central Nervous System Vascular Malformations - surgery Central Nervous System Vascular Malformations - therapy Cerebral Angiography Cranial Sinuses - abnormalities Cranial Sinuses - diagnostic imaging Cranial Sinuses - surgery Embolization, Therapeutic - methods Humans Infant Intracranial Arteriovenous Malformations - diagnostic imaging Intracranial Arteriovenous Malformations - surgery Intracranial Arteriovenous Malformations - therapy Male Medicine Medicine & Public Health Neurosciences Neurosurgery Pia Mater - blood supply Pia Mater - diagnostic imaging |
| title | High flow pial arteriovenous fistula with dural sinus malformation of the posterior circulation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T18%3A37%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=High%20flow%20pial%20arteriovenous%20fistula%20with%20dural%20sinus%20malformation%20of%20the%20posterior%20circulation&rft.jtitle=Child's%20nervous%20system&rft.au=Reddy,%20Nikhila&rft.date=2024-12-01&rft.volume=40&rft.issue=12&rft.spage=4375&rft.epage=4380&rft.pages=4375-4380&rft.issn=0256-7040&rft.eissn=1433-0350&rft_id=info:doi/10.1007/s00381-024-06650-y&rft_dat=%3Cproquest_cross%3E3122629184%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3122629184&rft_id=info:pmid/39470779&rfr_iscdi=true |