Management of pediatric pial arteriovenous fistulas with a single connection: two illustrative cases.

IF 4.3 1区 医学 Q1 NEUROIMAGING
Matias Luis Costa, Bryce Garrison Dennis, Karen Chen, Peter Kan
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引用次数: 0

Abstract

Pediatric arteriovenous fistulas (PAVFs) are rare, representing only 7.3-17.2% of all pediatric shunts.1 2 In a number of cases they can lead to life-threatening venous hypertension, hydrocephalus and macrocrania,3 heart failure,1 hemorrhagic stroke,4 5 seizures,3 and cognitive developmental issues.1-3 In selected circumstances, early and aggressive treatment is recommended.We present two cases of single-connection, high-flow PAVFs. Case 1 represents a mid-basilar PAVF treated through a transarterial approach, while case 2 represents a quadrigeminal cistern PAVF treated with several transarterial sessions followed by a final transvenous session. The procedures are shown in video 1 neurintsurg;17/11/1265/V1F1V1Video 1 Clinical cases demonstrating endovascular treatment of pediatric pial arteriovenous fistulas.

小儿静脉动静脉瘘的单一连接管理:两个示例病例。
小儿动静脉瘘(PAVFs)非常罕见,仅占所有小儿分流术的 7.3-17.2%。1 2 在一些病例中,PAVFs 可导致危及生命的静脉高压、脑积水和大脑积水、3 心力衰竭、1 出血性中风、4 5 癫痫发作、3 以及认知发育问题。病例 1 代表通过经动脉方法治疗的中基底 PAVF,而病例 2 则代表通过数次经动脉治疗后再进行最后一次经静脉治疗的四叉阴囊 PAVF。手术过程见视频1neurintsurg;jnis-2024-021955v1/V1F1V1Video 1展示小儿静脉动静脉瘘血管内治疗的临床病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
9.50
自引率
14.60%
发文量
291
审稿时长
4-8 weeks
期刊介绍: The Journal of NeuroInterventional Surgery (JNIS) is a leading peer review journal for scientific research and literature pertaining to the field of neurointerventional surgery. The journal launch follows growing professional interest in neurointerventional techniques for the treatment of a range of neurological and vascular problems including stroke, aneurysms, brain tumors, and spinal compression.The journal is owned by SNIS and is also the official journal of the Interventional Chapter of the Australian and New Zealand Society of Neuroradiology (ANZSNR), the Canadian Interventional Neuro Group, the Hong Kong Neurological Society (HKNS) and the Neuroradiological Society of Taiwan.
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