Briganti F, Tedeschi E, Leone G, Marseglia M, Cicala D, Giamundo M, Napoli M, Caranci F
Department of Diagnostic Imaging, University of Naples, Naples, Italy.
Neuroradiol J. 2013 Jun;26(3):339-46. doi: 10.1177/197140091302600315. Epub 2013 Jul 16.
This report describes endovascular approaches for occlusion of vertebro-vertebral arteriovenous fistula (VV-AVF) in a series of three cases and a review of the literature. Complete neuroimaging assessment, including CT, MR and DSA was performed in three patients (two female, one male) with VV-AVF. Based on DSA findings, the VV-AVF were occluded by endovascular positioning of detachable balloons (case 1), coils (case 2), or a combination of both (case 3) with parent artery patency in two out of three cases. In this small series, endovascular techniques for occlusion of VV-AVF were safe and effective methods of treatment. To date, there are no guidelines on the best treatment for VV-AVF. Detachable balloons, endovascular coiling, combined embolization procedures could all be considered well-tolerated treatments.
本报告描述了3例椎-椎动静脉瘘（VV-AVF）闭塞的血管内治疗方法并对相关文献进行综述。对3例（2例女性，1例男性）VV-AVF患者进行了包括CT、MR和DSA在内的完整神经影像学评估。根据DSA结果，通过血管内放置可脱性球囊（病例1）、弹簧圈（病例2）或两者联合使用（病例3）闭塞VV-AVF，3例中有2例供血动脉保持通畅。在这个小样本系列中，血管内技术闭塞VV-AVF是安全有效的治疗方法。目前，尚无关于VV-AVF最佳治疗方案的指南。可脱性球囊、血管内弹簧圈栓塞、联合栓塞术均被认为是耐受性良好的治疗方法。
