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.
- balloon detachable embolization
- coil embolization of AVF
- perimedullary arteriovenous fistulas
- spinal arteriovenous fistulas
- spinal cord
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Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent Obtained.
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