Kurt A, Tanrivermiş A, Ipek A, Tosun O, Gümüş M, Yazicioğlu K R, Taş I
Ankara Atatürk Education and Research Hospital Department of Radiology, Ankara-Turkey Assistant, Radiology Department, Instructor, Radiology Department -
Interv Neuroradiol. 2006 Jun 15;12(2):171-5. doi: 10.1177/159101990601200213. Epub 2006 Jul 31.
Vertebral pseudoaneurysm and arteriovenous fistulas are very rare and are commonly due to penetrating trauma to craniocervical region. A 20-year-old man was presented with progressive swelling and pulsatile mass on the left side of his face. He had been stabbed two weeks ago on the left side of his face. Doppler Ultrasound revealed large left vertebral pseudoaneursym and arteriovenous fistulisation with the ipsilateral internal jugulat vein. MR Angiography and conventional angiography confirmed arteriovenous fistula between left vertebral artery and ipsilateral internal jugular vein and large pseudoaneurysm formation on vertebral artery. Arteriovenous fistula was closed surgically and embolized with surgicell. But the pseudoaneurysm was treated with endovascular covered stent placement.
椎动脉假性动脉瘤和动静脉瘘非常罕见，通常是由于颅颈区域的穿透性创伤所致。一名20岁男性患者，左侧面部出现进行性肿胀和搏动性肿块。两周前他左侧面部被刺伤。多普勒超声显示左侧椎动脉巨大假性动脉瘤并与同侧颈内静脉形成动静脉瘘。磁共振血管造影和传统血管造影证实左侧椎动脉与同侧颈内静脉之间存在动静脉瘘，椎动脉上形成巨大假性动脉瘤。动静脉瘘通过手术闭合并用外科用明胶海绵栓塞。但假性动脉瘤采用血管内覆膜支架置入治疗。
