Vertebro-Vertebral Fistula Occlusion Using a Woven EndoBridgeTM-Device
10.5469euroint.2023.00430
- Author:
Rasmus Holmboe DAHL
1
;
Mohammad GHASEMI-RAD
;
Vagn ESKESEN
;
Susanne Christiansen FREVERT
;
Christine SØLLING
;
Goetz BENNDORF
Author Information
1. Department of Radiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
- Publication Type:Case Report
- From:Neurointervention
2023;18(3):200-203
- CountryRepublic of Korea
- Language:English
-
Abstract:
Vertebro-vertebral fistulas (VVFs) are vascular lesions that may develop after trauma or spontaneously in association with connective tissue disorders. We present a rare case of a post-traumatic VVF in a young patient presenting with a painless swelling and a bruit in her left upper neck. Digital subtraction angiography showed an arteriovenous fistula between the left vertebral artery (VA) and the vertebral venous plexus with significant steal phenomenon. Endovascular therapy was performed using a Woven EndoBridgeTM (WEB)-device combined with coils that allowed preservation of the VA. The patient fully recovered from her symptoms and follow-up imaging showed stable occlusion. In conclusion, VVFs can be effectively treated using intrasaccular flow diverters such as the WEB-device, allowing for complete and stable occlusion while preserving the parent artery.
