Onyx embolization of high-flow spontaneous cervical vertebral arteriovenous fistula.

Abstract:

BACKGROUND AND IMPORTANCE:High-flow spontaneous vertebral arteriovenous shunts in patients with fibromuscular disease (FMD) are rare. Onyx embolization of the recipient veins with shunt disconnection and preservation of the affected vertebral artery in a patient with FMD has not been reported. CLINICAL PRESENTATION:A 59-year-old female presented with progressive dizziness, pre-syncopal episodes, and tinnitus. Catheter-based angiography identified features of fibromuscular dysplasia and a high-flow right cervical vertebral artery arteriovenous shunt. Onyx embolization of the principle draining veins was performed with initial detachable coil placement. Complete disconnection of the shunt was achieved without sacrifice of the parent vertebral artery. CONCLUSION:Spontaneous high-flow vertebral arteriovenous shunts can be successfully occluded with Onyx/detachable coil embolization of the principle recipient veins.

journal_name

Vasc Endovascular Surg

authors

Gordhan A

doi

10.1177/1538574412452156

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

484-6

issue

6

eissn

1538-5744

issn

1938-9116

pii

1538574412452156

journal_volume

46

pub_type

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