Endovascular Treatment of a Pial Arteriovenous Fistula With Occipital Remodeling Secondary to Giant Torcular Dilation

Aguilar, Marta; González, Alejandro; López, Antonio; Gutiérrez, I. Gordillo; Durand, Fernando; Mayol, Antonio

doi:10.1177/0883073810397363

Cited by 8 publications

(3 citation statements)

References 13 publications

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“…Infants with congestive cardiac failure exhibit high-flow fistula demonstrate tachycardia, respiratory distress, poor systemic perfusion, and cyanosis. An audible murmur or cranial might be auscultated (55). Venous congestion may lead to non-obstructive hydrocephalus secondary to venous hypertension.…”

Section: Section 2: Arteriovenous Fistulas (Avfs)mentioning

confidence: 99%

Hemorrhagic Cerebrovascular Pathology in the Pediatric Population

Guerrero

Dandapat

2020

Front. Neurol.

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Hemorrhagic cerebrovascular disease in the pediatric population can have devastating and long-term effects. Progress in the fields of genetics, neuroimaging, pharmacology, and surgical techniques has led to improved diagnosis and management of pediatric cerebrovascular diseases. In this review we discuss the current etiologies and medical and surgical treatments of hemorrhagic cerebrovascular pathology affecting infants and children. A special emphasis is placed on neuroendovascular treatment options. Increased knowledge about this unique pathology and the medical and therapeutic options will empower practitioners to more quickly and accurately identify and accurately treat hemorrhagic diseases in the pediatric population.

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Section: Section 2: Arteriovenous Fistulas (Avfs)mentioning

confidence: 99%

Hemorrhagic Cerebrovascular Pathology in the Pediatric Population

Guerrero

Dandapat

2020

Front. Neurol.

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“…Coils can provide better control of positioning, and they are not easily carried away by high-velocity blood flow. [74][75][76][77] When the fistula orifice is smaller, coil embolization is more successful. 78 In 2006, Luo et al utilized transarterial Guglielmi detachable coils to treat intracranial high-flow AVFs in single-session embolization and achieved satisfactory treatment.…”

Section: Endovascular Interventional Treatmentmentioning

confidence: 99%

Intracranial non-galenic pial arteriovenous fistula: A review of the literature

Shi

et al. 2016

Interv Neuroradiol

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An intracranial non-galenic pial arteriovenous fistula (NGPAVF) is a direct connection between the intracranial artery and vein without a nidus. NGPAVFs are clinically rare, and the current understanding of NGPAVFs is limited. This study searched PubMed for the currently available literature, and a review of the relevant publications revealed that NGPAVFs require aggressive treatment, spontaneous occlusion is uncommon, and the prognosis following conservative treatment is poor. NGPAVFs can be divided into congenital and traumatic (including iatrogenic) types. Clinically, NGPAVFs are characterized by congestive heart failure, epilepsy, hemorrhage, mass effects, and nerve function deficits. For the imaging examination of NGPAVFs, digital subtraction angiography (DSA) is still the gold standard for diagnosis, although magnetic resonance DSA (MRDSA) and 4D computed tomography angiography (CTA) can also provide hemodynamic data in a non-invasive manner. Current treatments for NGPAVFs include surgical resection and endovascular embolization, both of which can yield clinical improvements. However, potential postoperative complications should be addressed, such as fatal bleeding due to rupture and deep vein thrombosis. Some studies recommend postoperative anticoagulation to reduce postoperative thrombotic complications.

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“…Acute presentation due to subarachnoid or intracerebral hemorrhage is less common. 1,4,8,16,25,33,37,44 Hydrocephalus is an unusual presentation but can be seen in newborns and infants. The exact pathophysiology of this clinical presentation is still unknown but is likely due to the raised venous pressure caused by a high-flow fistula.…”

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confidence: 99%

Hydrocephalus in a patient with an unruptured pial arteriovenous fistula: hydrodynamic considerations, endovascular treatment, and clinical course

Morales-Gómez

Garza-Oyervides

Arenas-Ruiz

et al. 2017

PED

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Intracranial pial arteriovenous fistulas, also known as nongalenic fistulas, are rare vascular malformations affecting predominantly the pediatric population. Hydrocephalus is an unusual presentation in which the exact pathophysiology is not fully understood. The aim of treatment in these cases is occlusion of the fistula prior to considering ventricular shunting. Here, the authors describe the hydrodynamic considerations of the paravascular pathway and the resolution of hydrocephalus with endovascular treatment of the fistula.

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Endovascular Treatment of a Pial Arteriovenous Fistula With Occipital Remodeling Secondary to Giant Torcular Dilation

Cited by 8 publications

References 13 publications

Hemorrhagic Cerebrovascular Pathology in the Pediatric Population

Hemorrhagic Cerebrovascular Pathology in the Pediatric Population

Intracranial non-galenic pial arteriovenous fistula: A review of the literature

Hydrocephalus in a patient with an unruptured pial arteriovenous fistula: hydrodynamic considerations, endovascular treatment, and clinical course

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