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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique

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Pediatric peri-medullary arteriovenous fistula: Pearls for diagnosis and treatment

Joshua A Reynolds1, Yashraj Srivastava1, Muhammed Amir Essibayi2

  • 1Albert Einstein College of Medicine, Bronx, NY, USA.

World Neurosurgery: X
|October 9, 2024
PubMed

Insights

Pediatric type IVc perimedullary arteriovenous fistulae (PAVF) are rare spinal malformations. This case report highlights surgical considerations for PAVF, advocating for surgical intervention in specific pediatric cases.

Area of Science:

  • Neurology
  • Neurosurgery
  • Vascular Malformations

Background:

  • Pediatric type IVc perimedullary arteriovenous fistulae (PAVF) are rare spinal vascular malformations.
  • These malformations involve direct connections between spinal arteries and veins, causing high-flow shunting and venous varicosities.
  • Complete fistula disconnection is crucial to prevent hemorrhage and spinal cord compression.

Purpose of the Study:

  • To address the lack of large studies on circumstances favoring surgical intervention for pediatric PAVF.
  • To detail specific considerations that supported a surgical approach for a type IVc PAVF in a pediatric patient.

Main Methods:

  • Case report detailing the management of a 17-year-old female patient with type IVc PAVF.
  • Analysis of factors influencing the decision for a surgical versus endovascular approach.

Main Results:

  • The case report identifies specific clinical and anatomical considerations that favored surgical disconnection.
  • Highlights the successful surgical management of a complex pediatric PAVF.

Conclusions:

  • A surgical approach can be favorable for specific pediatric type IVc PAVF.
  • This case report provides valuable insights into decision-making for these rare spinal vascular malformations.

Keywords:
AV fistulaFistula ligationPerimedullary fistulaSpinal AVFVenous varix

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