Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/handle/123456789/52466 |
Resumo: | Spinal pial arteriovenous fistulas (SPAVFs) are rare lesions that present more frequently in young patients. Lesions located on radiculo-pial arteries without involvement of the anterior spinal artery are even rarer. SPAVFs may present with mass effect, venous congestion or hemorrhage. Most often, treatment is performed either by surgery or endovascularly with fluid embolic material. Use of microcoils has not been reported for this condition. We present two cases of radiculo-pial high-flow SPAVFs in two patients in their early 30 s. One patient presented with abrupt headache without proof of hemorrhage and the other one with trigeminal neuralgia resulting from dilated posterior fossa draining veins remote from the fistula. Both patients were successfully treated with endovascular shunt closure using microcoils with resolution of symptoms and disappearance of the dilated veins at follow-up. With recent advances in microcatheter technology, distal navigation and microcoil embolization offers another option for these cases that may be safer than fluid embolic material. |
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Batista, André LimaRomero, Diego GutierrezGentric, Jean-ChristopheWeill, AlainRaymond, JeanRoy, Daniel2023-05-17T19:25:30Z2023-05-17T19:25:30Z2015-06-25BATISTA, André Lima; et al. Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases. Interventional Neuroradiology, [S.L.], v. 21, n. 4, p. 527-531, 25 jun. 2015. SAGE Publications. http://dx.doi.org/10.1177/1591019915590530https://repositorio.ufrn.br/handle/123456789/5246610.1177/1591019915590530Interventional Neuroradiologyembolizationspinal AV fistulasspinal AVMsRadiculo-pial spinal arteriovenous fistulas treated with coils: report of two casesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleSpinal pial arteriovenous fistulas (SPAVFs) are rare lesions that present more frequently in young patients. Lesions located on radiculo-pial arteries without involvement of the anterior spinal artery are even rarer. SPAVFs may present with mass effect, venous congestion or hemorrhage. Most often, treatment is performed either by surgery or endovascularly with fluid embolic material. Use of microcoils has not been reported for this condition. We present two cases of radiculo-pial high-flow SPAVFs in two patients in their early 30 s. One patient presented with abrupt headache without proof of hemorrhage and the other one with trigeminal neuralgia resulting from dilated posterior fossa draining veins remote from the fistula. Both patients were successfully treated with endovascular shunt closure using microcoils with resolution of symptoms and disappearance of the dilated veins at follow-up. With recent advances in microcatheter technology, distal navigation and microcoil embolization offers another option for these cases that may be safer than fluid embolic material.engreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNinfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/52466/2/license.txte9597aa2854d128fd968be5edc8a28d9MD52123456789/524662023-05-17 16:25:43.282oai:https://repositorio.ufrn.br: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Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2023-05-17T19:25:43Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.pt_BR.fl_str_mv |
Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases |
title |
Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases |
spellingShingle |
Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases Batista, André Lima embolization spinal AV fistulas spinal AVMs |
title_short |
Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases |
title_full |
Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases |
title_fullStr |
Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases |
title_full_unstemmed |
Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases |
title_sort |
Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases |
author |
Batista, André Lima |
author_facet |
Batista, André Lima Romero, Diego Gutierrez Gentric, Jean-Christophe Weill, Alain Raymond, Jean Roy, Daniel |
author_role |
author |
author2 |
Romero, Diego Gutierrez Gentric, Jean-Christophe Weill, Alain Raymond, Jean Roy, Daniel |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Batista, André Lima Romero, Diego Gutierrez Gentric, Jean-Christophe Weill, Alain Raymond, Jean Roy, Daniel |
dc.subject.por.fl_str_mv |
embolization spinal AV fistulas spinal AVMs |
topic |
embolization spinal AV fistulas spinal AVMs |
description |
Spinal pial arteriovenous fistulas (SPAVFs) are rare lesions that present more frequently in young patients. Lesions located on radiculo-pial arteries without involvement of the anterior spinal artery are even rarer. SPAVFs may present with mass effect, venous congestion or hemorrhage. Most often, treatment is performed either by surgery or endovascularly with fluid embolic material. Use of microcoils has not been reported for this condition. We present two cases of radiculo-pial high-flow SPAVFs in two patients in their early 30 s. One patient presented with abrupt headache without proof of hemorrhage and the other one with trigeminal neuralgia resulting from dilated posterior fossa draining veins remote from the fistula. Both patients were successfully treated with endovascular shunt closure using microcoils with resolution of symptoms and disappearance of the dilated veins at follow-up. With recent advances in microcatheter technology, distal navigation and microcoil embolization offers another option for these cases that may be safer than fluid embolic material. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015-06-25 |
dc.date.accessioned.fl_str_mv |
2023-05-17T19:25:30Z |
dc.date.available.fl_str_mv |
2023-05-17T19:25:30Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
BATISTA, André Lima; et al. Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases. Interventional Neuroradiology, [S.L.], v. 21, n. 4, p. 527-531, 25 jun. 2015. SAGE Publications. http://dx.doi.org/10.1177/1591019915590530 |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/handle/123456789/52466 |
dc.identifier.doi.none.fl_str_mv |
10.1177/1591019915590530 |
identifier_str_mv |
BATISTA, André Lima; et al. Radiculo-pial spinal arteriovenous fistulas treated with coils: report of two cases. Interventional Neuroradiology, [S.L.], v. 21, n. 4, p. 527-531, 25 jun. 2015. SAGE Publications. http://dx.doi.org/10.1177/1591019915590530 10.1177/1591019915590530 |
url |
https://repositorio.ufrn.br/handle/123456789/52466 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Interventional Neuroradiology |
publisher.none.fl_str_mv |
Interventional Neuroradiology |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFRN instname:Universidade Federal do Rio Grande do Norte (UFRN) instacron:UFRN |
instname_str |
Universidade Federal do Rio Grande do Norte (UFRN) |
instacron_str |
UFRN |
institution |
UFRN |
reponame_str |
Repositório Institucional da UFRN |
collection |
Repositório Institucional da UFRN |
bitstream.url.fl_str_mv |
https://repositorio.ufrn.br/bitstream/123456789/52466/2/license.txt |
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MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN) |
repository.mail.fl_str_mv |
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1802117712233627648 |