Publication Date
11-1-2023
Journal
Neurointervention
DOI
10.5469/neuroint.2023.00430
PMID
37867304
PMCID
PMC10626043
PubMedCentral® Posted Date
10-23-2023
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
Therapeutic embolization, Vertebral artery, Arteriovenous fistula, WEB-device, Woven EndoBridgeTM-device
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.
