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The endovascular treatment of a spinal perimedullary arteriovenous fistula with coils: a case report
  1. L Pasqualetto1,
  2. R Papa2,
  3. M Isalberti2,
  4. N P Nuzzi2,
  5. V Branca2
  1. 1Neuroradiology Po Loreto Mare, Napoli, Italy
  2. 2Neuroradiology, Policlinico, Milano, Italy
  1. Correspondence to L Pasqualetto, Neuroradiology Po Loreto Mare, Napoli, via Caracciolo 41, Meta 80062, Italy; luigipasqualetto{at}libero.it

Abstract

We report a case of direct spinal intradural ventral arteriovenous fistula of the thoraco-lumbar region. Angiography demonstrated a single feeder from the anterior spinal artery that drained directly into a markedly dilated vein without an intervening nidus. The endovascular treatment was performed by a transarterial approach and the occlusion of the fistula, after a failed treatment by a detachable balloon, was obtained by coils released in the initial fistulous site inside a venous dilatation with complete clinical cure. This case indicates that endovascular treatment is possible using coils as a valid and safe alternative to a balloon, glue or surgical approach.

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Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent Obtained.

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