scholarly journals Multi-system bleeding risk with a cutaneous angiosarcoma at an arteriovenous fistula site

2018 ◽  
Vol 2018 (10) ◽  
Author(s):  
Dominic Heining ◽  
Jonathan Senior ◽  
Abheesh Prasad ◽  
Michael Thomas ◽  
Andrew Bentall ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Bleeding Risk ◽  
Fistula Site

Balloon occlusion of a spontaneous fistula of the posterior inferior cerebellar artery

1983 ◽  
Vol 58 (2) ◽  
pp. 287-290 ◽  
Author(s):  
Fernando Viñuela ◽  
Allan J. Fox ◽  
Shinichi Kan ◽  
Charles G. Drake
Keyword(s):  
Arteriovenous Fistula ◽  
Posterior Inferior Cerebellar Artery ◽  
Mass Effect ◽  
Balloon Occlusion ◽  
Cerebellar Syndrome ◽  
Detachable Balloon ◽  
Content Type ◽  
Cerebellar Artery ◽  
Fistula Site ◽  
Fine Print

✓ A case is reported of a large spontaneous right posterior inferior cerebellar artery fistula in which the patient presented with a right cerebellopontine (CP) angle and right cerebellar syndrome. The patient was successfully treated by balloon occlusion at the fistula site. The location of the arteriovenous fistula, the mass effect of its enlarged draining veins on the cerebellum and CP angle structures, and the simple therapeutic endovascular occlusion with a detachable balloon make this case unique.

Pediatric perimedullary arteriovenous fistula of the conus medullaris supplied by the artery of Desproges-Gotteron

2013 ◽  
Vol 11 (4) ◽  
pp. 426-430 ◽  
Author(s):  
José E. Cohen ◽  
Shlomo Constantini ◽  
John M. Gomori ◽  
Mony Benifla ◽  
Eyal Itshayek
Keyword(s):  
Arteriovenous Fistula ◽  
Sudden Onset ◽  
Conus Medullaris ◽  
Endovascular Embolization ◽  
Pediatric Case ◽  
Liquid Embolic ◽  
Internal Iliac ◽  
History Of ◽  
Neurological Presentation ◽  
Fistula Site

The cone artery, or artery of Desproges-Gotteron, is sometimes seen arising from the internal iliac artery. The authors describe a case of a symptomatic perimedullary arteriovenous fistula (AVF) of the conus medullaris in an 8-year-old boy who presented with a protracted history of urinary difficulty and severe sudden-onset right lumbosciatic pain that evolved to severe paraparesis with compromise of the sphincter muscles. The spinal AVF, which was supplied by the cone artery and a thoracic radiculomedullary artery that joined at the fistula site in a large partially thrombosed varix, was completely occluded with Onyx liquid embolic. The patient's clinical condition improved rapidly after embolization. As shown in this patient, urgent endovascular embolization of spinal AVFs can be very rewarding, even in patients with severe neurological presentation. The artery of Desproges-Gotteron appears to be a rare arterial variation. To the authors' knowledge, this is the first pediatric case of a conal AVF supplied by this artery.

A Transmedullary Approach to Occlusion of a Ventral Perimedullary Arteriovenous Fistula of the Thoracic Spinal Cord

Neurosurgery ◽  
2010 ◽  
Vol 66 (3) ◽  
pp. 611-615 ◽  
Author(s):  
Alf Giese ◽  
Peter A. Winkler ◽  
Christian Schichor ◽  
Sven Rainer Kantelhardt ◽  
Tobias Boeckh-Behrens ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Fistula ◽  
Dorsal Surface ◽  
Venous Drainage ◽  
Venous Flow ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Complete Obliteration ◽  
Fistula Site ◽  
Ventral Spinal Cord

Abstract OBJECTIVE A spinal perimedullary arteriovenous fistula (PMAVF) is a direct fistula of one or more spinal arteries into the perimedullary venous network with reversed venous flow and subsequent venous congestion of the spinal cord. The therapeutic goal of surgery is to normalize the venous drainage by obliterating the fistula. Strictly ventral lesions typically require an anterior approach to ensure adequate exposure of the fistula as well and the preservation of the physiological blood supply to the spinal cord. CLINICAL PRESENTATION We present a case of a ventral PMAVF at the level of T10 with feeders from the anterior spinal artery, caudally draining veins on the ventral spinal cord, and a dilated transmedullary vein filling cranially draining veins on the dorsal aspect of the spinal cord. TECHNIQUE The dilated transmedullary vein was approached by a laminectomy. The vein was coagulated, and the gliotic channel was used to approach the ventral fistula site from the dorsal surface of the spinal cord. Complete obliteration of the fistula was achieved, and the preoperative neurological deficit improved. CONCLUSION We conclude that transmedullarly draining veins offers a possible dorsal approach for the occlusion of some ventral PMAVFs, thus avoiding more complex anterior approaches to the ventral spinal cord.

scholarly journals Hybrid treatment of arteriovenous fistula between popliteal vessels

2014 ◽  
Vol 13 (4) ◽  
pp. 325-329
Author(s):  
Adenauer Marinho de Oliveira Góes Junior ◽  
Salim Abdon Haber Jeha ◽  
Reinaldo Sérgio Monteiro Franco
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Femoral Artery ◽  
Gunshot Wound ◽  
Stent Grafts ◽  
Iatrogenic Injuries ◽  
Hybrid Treatment ◽  
Popliteal Vessels ◽  
Open Surgical Approach ◽  
Fistula Site

The authors describe treatment of a patient who presented an arteriovenous fistula between the popliteal vessels more than 20 years after a gunshot wound. The patient underwent endovascular treatment using Viabahn (Gore®) stent grafts, but, because of the large disparity in popliteal artery diameters proximal and distal of the fistula, the endovascular treatment was unsuccessful. The superficial femoral artery was then banded around the stent graft that was deployed previously. This improvised strategy allowed an open surgical approach to be performed far from the fistula site, reducing the risks of operating in a region with anatomic distortions and significant enlargement of the surrounding venous structures, which would certainly have increased the likelihood of iatrogenic injuries.

scholarly journals Challenges of Caring for an Advanced Chronic Kidney Disease Patient with Severe Thrombocytopenia

2013 ◽  
Vol 6 ◽  
pp. CCRep.S13238 ◽  
Author(s):  
Tetsu Akimoto ◽  
Chiharu Ito ◽  
Atsushi Kotoda ◽  
Manabu Ogura ◽  
Taro Sugase ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Arteriovenous Fistula ◽  
Present Report ◽  
Disease Patient ◽  
Venous Catheter ◽  
Bleeding Risk ◽  
Severe Thrombocytopenia ◽  
Peripheral Vasculature ◽  
Advanced Chronic Kidney Disease

An autogenous arteriovenous fistula has been considered to be the optimal form of vascular access for hemodialysis (HD) in the field of nephrology. Nevertheless, the decision regarding the type of access, whether it be an arteriovenous fistula, an arteriovenous graft, or a central venous catheter, must still be individualized. In the present report, we describe the case of a female patient with advanced chronic kidney disease (CKD) associated with a hemostatic disorder. Despite the exhausted peripheral vasculature, she required recurrent platelet transfusions for severe thrombocytopenia due to aplastic anemia. The goal of care for this patient was to optimize the dialysis treatment without increasing the bleeding risk. Various concerns regarding the therapeutic conundrums encountered in the case are also discussed.

scholarly journals Evaluation of bleeding risk in dural arteriovenous fistula using susceptibility-weighted imaging: A case report

2014 ◽  
Vol 1 (4) ◽  
pp. 88-90
Author(s):  
Satoshi Koizumi ◽  
Gakushi Yoshikawa ◽  
Masaaki Shojima ◽  
Yosuke Kitagawa ◽  
So Fujimoto ◽  
...  
Keyword(s):  
Case Report ◽  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Bleeding Risk ◽  
Susceptibility Weighted Imaging

scholarly journals Application of the selective indocyanine green videoangiography in microsurgical treatment of a craniocervical junction dural arteriovenous fistula

2019 ◽  
Vol 46 (Suppl_2) ◽  
pp. V5 ◽  
Author(s):  
Liyong Sun ◽  
Jian Ren ◽  
Hongqi Zhang
Keyword(s):  
Indocyanine Green ◽  
Arteriovenous Fistula ◽  
Operative Technique ◽  
Dural Arteriovenous Fistula ◽  
Craniocervical Junction ◽  
Indocyanine Green Videoangiography ◽  
Unique Type ◽  
Midline Approach ◽  
Neurovascular Anatomy ◽  
Fistula Site

Craniocervical junction dural arteriovenous fistula (CCJDAVF) is a rare and unique type of intracranial DAVF with complex neurovascular anatomy, making it difficult to identify the arterialized vein during operation. The authors report the case of a 50-year-old male who presented with symptoms of venous hypertensive myelopathy. Angiography demonstrated a left CCJDAVF. The fistula was successfully disconnected via a suboccipital midline approach. The selective indocyanine green videoangiography (SICG-VA) technique was applied to distinguish the fistula site and arterialized vein from adjacent normal vessels. Favorable clinical and angiographic outcomes were attained. The detailed operative technique, surgical nuances, and utility of SICG-VA are illustrated in this video atlas.The video can be found here: https://youtu.be/GJYl_jOJQqU.

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