Shownkeen Harish, Bova Davide, Chenelle Andrew G, Origitano Thomas C
Department of Neurologcal Surgery, Loyola University Medical Center, 2160 S First Avenue, Maywood, IL 60153, USA.
Pediatr Radiol. 2003 May;33(5):354-6. doi: 10.1007/s00247-003-0866-0. Epub 2003 Feb 26.
Vertebral arteriovenous fistulas are rare in children and the congenital form has been seldom reported in the literature. Prior to using endovascular therapy techniques, only surgery was the main treatment. The most common endovascular treatment is through the use of detachable balloons. This report describes the clinical and radiological findings of a congenital vertebral artery fistula in a 20-month-old child. Balloons could not be safely employed; therefore, embolization was performed with Guglielmi detachable microcoils. We review the history and treatment of these lesions, their clinical presentation, and imaging features, including their outcome, with particular attention to the pediatric population.
儿童椎动脉动静脉瘘较为罕见，先天性椎动脉动静脉瘘在文献中鲜有报道。在采用血管内治疗技术之前，主要治疗方法仅为手术。最常见的血管内治疗是使用可脱性球囊。本报告描述了一名20个月大儿童先天性椎动脉瘘的临床和影像学表现。由于无法安全使用球囊，因此采用 Guglielmi 可脱性微弹簧圈进行栓塞治疗。我们回顾了这些病变的病史、治疗、临床表现及影像学特征，包括其治疗结果，尤其关注了儿童患者群体。
