Successful Endovascular Treatment with Covered Stent for Iatrogenic Vertebral Arteriovenous Fistula

Takuya Okata; Akira Ishii; Nobutake Sadamasa; Yasutoshi Kai; Ryota Ishibashi; Mitsushige Ando; Makoto Saka; Wataru Takita; Haruka Miyata; Hidehisa Nishi; Kazutaka Sonoda; Junpei Koge; Koichiro Futatsuya; Izumi Nagata

doi:10.5797/jnet.cr.2017-0006

Case Reports

Successful Endovascular Treatment with Covered Stent for Iatrogenic Vertebral Arteriovenous Fistula

Takuya Okata, Akira Ishii, Nobutake Sadamasa, Yasutoshi Kai, Ryota Ishibashi, Mitsushige Ando, Makoto Saka, Wataru Takita, Haruka Miyata, Hidehisa Nishi, Kazutaka Sonoda, Junpei Koge, Koichiro Futatsuya, Izumi Nagata

Author information

Takuya Okata
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Akira Ishii
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Nobutake Sadamasa
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Yasutoshi Kai
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Ryota Ishibashi
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Mitsushige Ando
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Makoto Saka
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Wataru Takita
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Haruka Miyata
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Hidehisa Nishi
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Kazutaka Sonoda
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Junpei Koge
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
Koichiro Futatsuya
Department of Radiology, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan
Izumi Nagata
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan

Keywords: vertebral arteriovenous fistula, endovascular treatment, covered stent, iatrogenic, pseudoaneurysm

JOURNAL OPEN ACCESS

2018 Volume 12 Issue 1 Pages 29-37

DOI https://doi.org/10.5797/jnet.cr.2017-0006

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Details

Abstract

Objective: We discuss the details of a case in which iatrogenic vertebral arteriovenous fistula (VAVF) was successfully treated with a covered stent.

Case Presentation: A 62-year-old man presented with tinnitus after catheterization via the internal jugular vein and subsequently developed iatrogenic VAVF. Under general anesthesia, stent-assisted coil embolization was attempted via the right femoral artery but was unsuccessful. Therefore, a covered stent (Fluency 8 × 40 mm; C. R. Bard, Inc., Tempe, AZ, USA) was deployed, resulting in a marked decrease in shunt flow. The VAVF was obliterated 3.4 months after the procedure without postoperative complications.

Conclusion: Endovascular treatment using a covered stent can be an option for iatrogenic VAVF.

Corresponding author

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