Successful Use of Neurovascular Plug for Embolization of Scalp Arteriovenous Fistula: A Novel Technique.
J Endovasc Ther
; 29(6): 827-834, 2022 12.
Article
em En
| MEDLINE
| ID: mdl-34964393
ABSTRACT
PURPOSE:
We report a case of a pediatric patient developing a delayed-onset scalp arteriovenous fistula (AVF) and pseudoaneurysm managed with a new technique. TECHNIQUE A 10-year-old boy presented to the outpatient clinic complaining of a growing pulsatile mass in the right side of the skull after head trauma 6 months ago. He had no neurological deficits. Imaging studies revealed scalp AVF with pseudoaneurysm. The arterial feeding was from the right temporal artery, while the blood was drained into the superior sagittal sinus and the facial vein. The fistula was occluded successfully by a microvascular plug (MVP). Follow-up angiography 1 year later showed that the AVF was no longer seen with complete embolization of pseudoaneurysm, total occlusion of the abnormal vessels, and the absence of MVP migration.CONCLUSION:
To the best of our knowledge, we report the first case of successfully using MVP to treat scalp AVF. The MVP is a novel technique with its unique ability to achieve rapid, safe, effective, and permanent vascular occlusion through a single device. Besides, the possibility of delayed-onset traumatic vascular injuries should be considered in a patient with head or facial trauma.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Fístula Arteriovenosa
/
Falso Aneurisma
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Embolização Terapêutica
Tipo de estudo:
Etiology_studies
Limite:
Child
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article