2018 年 12 巻 1 号 p. 29-37
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.