Endovascular and surgical approaches of iatrogenic vertebrovertebral arteriovenous fistula

Hao He, MD; Quanming Li, MD; Mingyuan Du, MD; Ke Chen, MD; Xin Li, MD; Jiehua Li, MD; Chang Shu, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Jun 2021)

Endovascular and surgical approaches of iatrogenic vertebrovertebral arteriovenous fistula

Hao He, MD,
Quanming Li, MD,
Mingyuan Du, MD,
Ke Chen, MD,
Xin Li, MD,
Jiehua Li, MD,
Chang Shu, MD, PhD

Affiliations

Hao He, MD: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China
Quanming Li, MD: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China
Mingyuan Du, MD: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China
Ke Chen, MD: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China
Xin Li, MD: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China
Jiehua Li, MD: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China
Chang Shu, MD, PhD: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China; Department of Vascular Surgery, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China; Correspondence: Chang Shu, MD, PhD, Department of Vascular Surgery, Second Xiangya Hospital, Central South University, 139 Middle Renmin Rd, Changsha 410011, China

Journal volume & issue: Vol. 7, no. 2
pp. 206 – 210

Abstract

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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.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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