Multiple Spontaneous Arteriovenous Fistulas of the Superficial Temporal Artery.
coil embolization
multiple arteriovenous fistulas
superficial temporal artery
Journal
Journal of neuroendovascular therapy
ISSN: 2186-2494
Titre abrégé: J Neuroendovasc Ther
Pays: Japan
ID NLM: 101488164
Informations de publication
Date de publication:
2022
2022
Historique:
received:
10
01
2021
accepted:
14
04
2021
medline:
1
1
2022
pubmed:
1
1
2022
entrez:
28
7
2023
Statut:
ppublish
Résumé
Multiple spontaneous arteriovenous fistulas (AVFs) of the external carotid artery (ECA) are rare. We present a case of multiple spontaneous AVFs treated by coil embolization using a combination of the transarterial and transvenous approach. A 59-year-old woman complained of right pulsatile tinnitus and a mass lesion at the ventral region of the right ear. 3D CTA and cerebral angiography revealed two AVFs on the superficial temporal artery (STA) with an aneurysm 9.8 mm in diameter. A balloon guiding catheter was navigated to the right STA via the right femoral artery. Another balloon guiding catheter was navigated to the right external jugular vein. The STA distal to the aneurysm was embolized with platinum coils by a transvenous approach. The STA proximal to the aneurysm was embolized transarterially and draining veins were embolized transvenously. Her symptoms were cured after endovascular embolization. MRA at 1 day and 6 months postoperatively showed no recurrence of AVFs or aneurysm. Coil embolization of multiple spontaneous AVFs of the ECA using a combined transarterial and transvenous approach is a curable treatment option. Transvenous embolization of an STA distal to an aneurysm is useful.
Identifiants
pubmed: 37502643
doi: 10.5797/jnet.cr.2021-0004
pii: jnet.cr.2021-0004
pmc: PMC10370969
doi:
Types de publication
Case Reports
Langues
eng
Pagination
82-86Informations de copyright
©2022 The Japanese Society for Neuroendovascular Therapy.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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