Skip to main content
SpringerLink
Log in

Percutaneous reposition of dislodged coils in the treatment of a vertebral arteriovenous fistula — with CT follow-up

  • Interventional Neuroradiology
  • Published:
Neuroradiology Aims and scope Submit manuscript

Summary

We report a case of vertebral arteriovenous fistula, in which embolization was complicated by migration of two coils and a partially inflated balloon. In order to relieve compression to the spinal cord, the displaced balloon was punctured percutaneously. For both relieving compression to the spinal cord and obliterating the residual fistula, the dislodged coils in the partially thrombosed epidural venous sinus were removed percutaneously and placed in the fistula, and more coils were implanted in the fistula percutaneously through the needle. CT follow-up half a year later showed complete resolution of compression of the spinal cord and complete recovery from myelopathy was clinically apparent.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Halbach VV, Higashida RT, Hieshima GB (1987) Treatment of vertebral arteriovenous fistulas. AJNR 8:1121–1128

    Google Scholar 

  2. Ben-Menachem Y, Fields WS, Cadavid G, Gomez LS, Anderson EC, Fisher RG (1987) Vertebral artery trauma: transcatheter embolization. AJNR 8:501–507

    Google Scholar 

  3. Cosgrove GR, Théron J (1987) Vertebral arteriovenous fistula following anterior cervical spine surgery. J Neurosurg 66:297–299

    Google Scholar 

  4. Olson RW, Hillier LB Jr, Svieh HJ (1963) Arteriovenous fistula: a complication of vertebral angiography; report of a case. J Neurosurg 20:73

    Google Scholar 

  5. Colley DP (1985) Vertebral arteriovenous fistula: an unusual complication of Swan-Ganz catheter insertion. AJNR 6:103–104

    Google Scholar 

  6. Hayes P, Gerlock AJ Jr, Cobb CA (1980) Cervical spine trauma: a cause of vertebral artery injury. J Trauma 20:904–905

    Google Scholar 

  7. Bahar S, Chiras J, Carpena JP, Meder JF, Bories J (1984) Spontaneous vertebro-vertebral arterio-venous fistula associated with fibro-muscular dysplasia. Neuroradiology 26:45–49

    Google Scholar 

  8. Hieshima GB, Cahan LD, Mehringer CM, Bentson JR (1986) Spontaneous arterio-venous fistulas of cerebral vessels in association with fibromuscular dysplasia. Neurosurgery 18:454–458

    Google Scholar 

  9. Parkinson D, Hay R (1986) Neurofibromatosis. Surg Neurol 25: 109–113

    Google Scholar 

  10. Beltramello A, Maschio A, Piova E, et al. (1988) Spontaneous arterio-venous fistulae of the vertebral artery. Eur J Radiol 8: 148–152

    Google Scholar 

  11. Kondoh T, Tamaki N, Takeda N, Suyama T, Oi S, Matsumoto S (1988) Fatal intracranial hemorrhage after balloon occlusion of an extracranial vertebral arteriovenous fistula. J Neurosurg 69: 945–948

    Google Scholar 

  12. Teng MMH, Guo WY, Lee LS, Chang T (1988) Direct puncture of the cavernous sinus for obliteration of a recurrent carotidcavernous fistula. Neurosurgery 23:104–107

    Google Scholar 

  13. Russel EJ, Goldblatt D, Levy JM, et al (1989) Percutaneous obliteration of apostoperatively persistent vertebral arteriovenous fistula. AJNR 10:196–200

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Veterans General Hospital-Taipei, National Defense Medical Center, and National Yang Ming Medical College, Taiwan, Republic of China

    M. M. H. Teng

  2. Department of Radiology, Veterans General Hospital-Taipei, Taiwan, Republic of China

    T. Chang, C. C. Chen & W. Y. Guo

  3. Department of Neurosurgery, Veterans General Hospital-Taipei, Taiwan, Republic of China

    C. I. Huang, D. H. C. Pan & L. S. Lee

  4. Department of Neurology, Veterans General Hospital-Taipei and National Yang Ming Medical College, Taiwan, Republic of China

    H. H. Hu & Y. O. Luk

Authors
  1. M. M. H. Teng
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. Chang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. I. Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. D. H. C. Pan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. H. H. Hu
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Y. O. Luk
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. C. C. Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. W. Y. Guo
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. L. S. Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Teng, M.M.H., Chang, T., Huang, C.I. et al. Percutaneous reposition of dislodged coils in the treatment of a vertebral arteriovenous fistula — with CT follow-up. Neuroradiology 33, 195–199 (1991). https://doi.org/10.1007/BF00588216

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00588216

Key words

Search

Navigation