小儿高流量椎-椎动静脉瘘伴基底动脉血流逆转的血管内治疗。病例报告及文献复习。
Endovascular management of pediatric high-flow vertebro-vertebral fistula with reversed basilar artery flow. A case report and review of the literature.
作者信息
Honarmand A R, Ansari S A, Alden T D, Soltanolkotabi M, Schoeneman S E, Hurley M C, Rahman O, Shaibani A
机构信息
Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
出版信息
Interv Neuroradiol. 2013 Jun;19(2):215-21. doi: 10.1177/159101991301900211. Epub 2013 May 21.
Abstract
Vertebral artery arteriovenous fistula (VAVF) is mostly known as a post-traumatic and/or iatrogenic arteriovenous complication. However, spontaneous high-flow VAVF associated with flow reversal in the basilar artery has not been reported in children. We describe a unique asymptomatic presentation of a spontaneous high-flow VAVF associated with flow reversal in the basilar artery in a pediatric patient. The literature for classification, pathophysiology, treatment strategies, and post-procedural complications is also reviewed.
摘要
椎动脉动静脉瘘（VAVF）大多被认为是一种创伤后和/或医源性动静脉并发症。然而，儿童中尚未报道过与基底动脉血流逆转相关的自发性高流量VAVF。我们描述了一名儿科患者中与基底动脉血流逆转相关的自发性高流量VAVF的独特无症状表现。同时也对其分类、病理生理学、治疗策略及术后并发症的相关文献进行了综述。
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本文引用的文献
1
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Vasc Endovascular Surg. 2012 Aug;46(6):484-6. doi: 10.1177/1538574412452156. Epub 2012 Jun 21.
2
Bilateral vertebral artery occlusion with retrograde basilary flow in three cases of giant cell arteritis.三例巨细胞动脉炎患者出现双侧椎动脉闭塞伴基底动脉逆行血流。
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.07.2008.0488. Epub 2009 Feb 26.
3
Relevance of basilar artery study in patients with subclavian steal phenomenon.锁骨下动脉盗血现象患者基底动脉研究的相关性
Open Neurol J. 2011;5:34-6. doi: 10.2174/1874205X01105010034. Epub 2011 May 4.
4
Spontaneous vertebrovertebral arteriovenous fistulae clinical features, angioarchitecture and management of twelve patients.12例自发性椎-椎动静脉瘘的临床特征、血管构筑及治疗
Interv Neuroradiol. 1999 Sep 30;5(3):219-24. doi: 10.1177/159101999900500304. Epub 2001 May 15.
5
Arteriovenous fistula of the vertebral artery in a female infant with hypotonia and cephalocorporal disproportion.女性婴儿出现张力减退和头身比例失调伴椎动脉动静脉瘘。
Acta Paediatr. 2010 Sep;99(9):1434-6. doi: 10.1111/j.1651-2227.2010.01831.x.
6
Delayed complication after embolotherapy of a vertebral arteriovenous fistula: spinal cord ischemia.栓塞治疗椎动脉动静脉瘘后的迟发性并发症：脊髓缺血。
J Vasc Interv Radiol. 2010 Mar;21(3):392-3. doi: 10.1016/j.jvir.2009.11.008.
7
Vertebral arteriovenous fistula presenting as cervical myelopathy: a rapid recovery with balloon embolization.以颈椎脊髓病为表现的脊柱动静脉瘘：球囊栓塞治疗后迅速恢复。
Cardiovasc Intervent Radiol. 2010 Dec;33(6):1253-6. doi: 10.1007/s00270-009-9708-2. Epub 2009 Sep 19.
8
Reversed flow in the basilar artery in acute vertebrobasilar ischemia.急性椎基底动脉缺血时基底动脉的逆流
J Clin Neurosci. 2009 Nov;16(11):1493-5. doi: 10.1016/j.jocn.2009.01.024. Epub 2009 Aug 4.
9
Recovery of reversed basilar artery flow as seen by transcranial sonography and MRA source images for vertebral dissection.经颅超声检查及椎动脉夹层的MRA源图像所见的基底动脉血流逆转恢复情况。
J Neuroimaging. 2008 Oct;18(4):451-3. doi: 10.1111/j.1552-6569.2007.00201.x. Epub 2007 Dec 21.
10
Spontaneous vertebral arteriovenous fistula simulating a cervical spine tumour.模拟颈椎肿瘤的自发性椎动脉动静脉瘘
Minim Invasive Neurosurg. 2008 Feb;51(1):54-6. doi: 10.1055/s-2007-1004549.
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