Costa Matias Luis, Dennis Bryce Garrison, Chen Karen, Kan Peter
Neurosurgery, The University of Texas Medical Branch at Galveston, Galveston, Texas, USA
Baylor College of Medicine, Houston, Texas, USA.
J Neurointerv Surg. 2024 Jul 31. doi: 10.1136/jnis-2024-021955.
Pediatric arteriovenous fistulas (PAVFs) are rare, representing only 7.3-17.2% of all pediatric shunts.1 2 In a number of cases they can lead to life-threatening venous hypertension, hydrocephalus and macrocrania,3 heart failure,1 hemorrhagic stroke,4 5 seizures,3 and cognitive developmental issues.1-3 In selected circumstances, early and aggressive treatment is recommended.We present two cases of single-connection, high-flow PAVFs. Case 1 represents a mid-basilar PAVF treated through a transarterial approach, while case 2 represents a quadrigeminal cistern PAVF treated with several transarterial sessions followed by a final transvenous session. The procedures are shown in video 1neurintsurg;jnis-2024-021955v1/V1F1V1Video 1 Clinical cases demonstrating endovascular treatment of pediatric pial arteriovenous fistulas.
小儿动静脉瘘（PAVF）较为罕见，仅占所有小儿分流术的7.3 - 17.2%。在许多病例中，它们可导致危及生命的静脉高压、脑积水和巨头症、心力衰竭、出血性中风、癫痫发作以及认知发育问题。在特定情况下，建议早期积极治疗。我们展示两例单连接、高流量PAVF病例。病例1为经动脉途径治疗的基底中部PAVF，而病例2为经多次动脉治疗后最终经静脉治疗的四叠体池PAVF。手术过程见视频1（neurintsurg;jnis - 2024 - 021955v1/V1F1V1视频1：小儿软膜动静脉瘘血管内治疗的临床病例）
