[Combination of intravascular surgery and surgical operation for occipital subcutaneous arteriovenous fistula in a patient with neurofibromatosis type I].
No Shinkei Geka
; 30(3): 309-13, 2002 Mar.
Article
in Ja
| MEDLINE
| ID: mdl-11905024
We presented a case of neurofibromatosis type I (NF-1) associated with an extracranial arteriovenous fistula (AVF) fed by the occipital and vertebral artery. A 20-year-old man was referred to our hospital because of an occipital subcutaneous pulsatile mass. A CT scan showed a huge subcutaneous enhanced mass. Angiography revealed that the occipital AVF was fed by bilateral occipital arteries, the left ascending pharyngeal artery, the left middle cerebral artery, and the left vertebral artery with-abundant communication with the subcutaneous veins. Endovascular treatment by using both coil and glue (Eudragid) embolization via the occipital artery successfully obliterated the AVF. Subsequently surgical operation was performed. Postoperative angiography showed the disappearance of the AVF. Combination of intravascular surgery and surgical operation should be considered as an effective treatment for NF-1 associated with AVF.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Scalp
/
Vascular Surgical Procedures
/
Veins
/
Vertebral Artery
/
Carotid Artery, External
/
Arteriovenous Fistula
/
Neurofibromatosis 1
/
Embolization, Therapeutic
Limits:
Adult
/
Humans
/
Male
Language:
Ja
Journal:
No Shinkei Geka
Year:
2002
Document type:
Article
Affiliation country:
Japan
Country of publication:
Japan