Transarterial embolization of radicular arteriovenous fistula at the craniocervical junction

Craniocervical junction arteriovenous fistula (CCJ AVF) is a rare vascular disorder. Direct surgery for CCJ AVF is generally reported to have better outcome compared to endovascular treatment. However, no certain consensus has been obtained so far. We report a case of radicular CCJ AVF treated by tr...

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Bibliographic Details
Published inRadiology case reports Vol. 19; no. 5; pp. 1712 - 1717
Main Authors Lee, Songhyon, Kubota, Masaaki, Tajima, Yosuke, Kojima, Iori, Higuchi, Yoshinori
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.05.2024
Elsevier
Subjects
Case Report
CCJ
Radicular AVF
Selective angiography
TAE
Selective angiography
TAE
Radicular AVF
CCJ
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Summary:Craniocervical junction arteriovenous fistula (CCJ AVF) is a rare vascular disorder. Direct surgery for CCJ AVF is generally reported to have better outcome compared to endovascular treatment. However, no certain consensus has been obtained so far. We report a case of radicular CCJ AVF treated by transarterial embolization that resulted in a good outcome. A 69-year-old man presented with subarachnoid hemorrhage primarily in the posterior cranial fossa. Based on digital subtraction angiography showed radicular CCJ AVF with varix. Transarterial embolization was performed with n-butyl-2-cyanoacrylate on day 17 after onset and successfully cured. The neurovascular anatomy of CCJ AVF is complicated, but endovascular treatment may be a treatment option with detailed understanding of angioarchitecture and selective endovascular procedure.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.01.053