Successful Stent-Graft Repair of a Vertebrojugular Arteriovenous Fistula

Rückert, Ralph I.; Rutsch, Wolfgang; Filimonow, S.; Lehmann, Rüdiger

doi:10.1583/1545-1550(2001)008<0495:ssgroa>2.0.co;2

Cited by 14 publications

(24 citation statements)

References 13 publications

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“…Nevertheless, starting in 2001, GraftMaster stents have been used as a last resort in endovascular approaches of complicated injuries of the VA and ICA. 15,16 Radial Force versus Rigidity…”

Section: Discussionmentioning

confidence: 99%

Unique Indications for Covered Stent Grafts in Neuroradiology Departments of Level 1 Trauma Centers

Goelz

Kreißl

Gutowski

et al. 2020

J Neurol Surg A Cent Eur Neurosurg

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Objective To describe unique indications for covered stent grafts in trauma-associated cerebrovascular injuries. Patients Between 2006 and 2018, five patients with cerebrovascular injuries were treated with a covered stent graft. We present a retrospective analysis of technique and outcomes. Results In all cases stent deployment was successful. Endoleaks occurred in two cases requiring additional transvenous embolization of a carotid cavernous fistula (CCF) in one patient. Two cases of in-stent thrombosis were observed during intervention and 2 days postintervention in a patient with a long-segment dissection of the internal carotid artery (ICA) and another patient with a contained ICA rupture, both of which could not be prepared with dual antiplatelet therapy. Intravenous heparin and intra-arterial tirofiban dissolved in-stent thrombosis efficiently. One CCF and an iatrogenic vertebral artery injury were covered adequately with GraftMaster stent grafts. Conclusion Patient selection with regard to individual anatomy and the site of vascular lesions is essential for an uncomplicated deployment of covered stent grafts and the success of therapy. Management of dual antiplatelet therapy, anticoagulation, and an escalation of medication in cases of in-stent thrombosis require expertise, a strict therapeutic regime, and an evaluation of individual risks in polytraumatized patients.

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“…Nevertheless, starting in 2001, GraftMaster stents have been used as a last resort in endovascular approaches of complicated injuries of the VA and ICA. 15,16 Radial Force versus Rigidity…”

Section: Discussionmentioning

confidence: 99%

Unique Indications for Covered Stent Grafts in Neuroradiology Departments of Level 1 Trauma Centers

Goelz

Kreißl

Gutowski

et al. 2020

J Neurol Surg A Cent Eur Neurosurg

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show abstract

“…Although up to 30% of these lesions can be asymptomatic, the spectrum of manifesting symptoms varies considerably ranging from the presence of a bruit or thrill over the neck, to the occurrence of continuous or pulsatile tinnitus or even cardiac failure in cases with a critical shunt volume. 2,10…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, because of the uncertain evolution over time, therapy should be offered to every patient even with an asymptomatic AVF, to minimize the risk of serious complications such as cardiac insufficiency or aneurysm formation with the associated risk of thromboembolic events. 2 Furthermore, in the setting of penetrating injury, vertebral AVFs frequently coexist with pseudoaneurysm formation making treatment mandatory. 4,11…”

Section: Discussionmentioning

confidence: 99%

“…The rationale for stent-graft use in the treatment of such lesions relies on the successful management of AVFs in large caliber arteries using endoprostheses, the preservation of luminal integrity of the involved artery, and the established positive experience in the use of stents for atherosclerotic lesions in this vessel. 2…”

Section: Discussionmentioning

confidence: 99%

“…Therefore the use of covered stents was suggested for the exclusion of the fistula and is described in 4 other similar cases in the literature. 1,2,7,8…”

Section: Introductionmentioning

confidence: 99%

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Endovascular Treatment of an Iatrogenic Vertebrojugular Fistula With a Balloon-Expandable Covered Stent: Case Report and Review of the Literature

Nikolopoulos¹,

Krokidis²,

Spiliοpoulos³

et al. 2012

Perspectives in Vascular Surgery and Endovascular Therapy

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We report a case of a fistula between the vertebral artery and the internal jugular vein that occurred after the erroneous placement of a central venous catheter. The patient was presented with tinnitus. Endovascular treatment with a balloon expandable covered stent placed into the vertebral artery was performed. One year follow-up showed satisfactory exclusion of the fistula, patency of the stented vertebral artery, and resolution of the symptoms. Only few other similar cases are reported in the literature with the use of different types of stents.

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Tratamiento endovascular de fístula arteriovenosa y falso aneurisma poplíteos postraumáticos. Presentación de un caso

et al. 2006

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Successful Stent-Graft Repair of a Vertebrojugular Arteriovenous Fistula

Abstract: Vertebrojugular AVFs are rare and usually treated with transcatheter embolization techniques, but percutaneous repair using a small-caliber stent-graft appears feasible. This minimally invasive treatment might become the method of choice for AVFs in other small-bore vessels.

Cited by 14 publications

References 13 publications

Unique Indications for Covered Stent Grafts in Neuroradiology Departments of Level 1 Trauma Centers

Unique Indications for Covered Stent Grafts in Neuroradiology Departments of Level 1 Trauma Centers

Endovascular Treatment of an Iatrogenic Vertebrojugular Fistula With a Balloon-Expandable Covered Stent: Case Report and Review of the Literature

Tratamiento endovascular de fístula arteriovenosa y falso aneurisma poplíteos postraumáticos. Presentación de un caso

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