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Successful Trans-arterial Occlusion of a Vertebral Arteriovenous Fistula with Aid of Intra Vascular Ultra Sound (IVUS) and Balloon Catheter Tsutomu YOSHIOKA 1 , Naoki KITAGAWA 1 , Minoru MORIKAWA 2 , Kentaro HAYASHI 1 , Takeshi IZUMO 1 , Morihito NAKAMOTO 1 , Makio KAMINOGO 1 , Izumi NAGATA 1 1Department of Neurosurgery,Nagasaki University School of Medicine 2Department of Radiology,Nagasaki University School of Medicine Keyword: vertebral arteriovenous fistula , trans-arterial embolization , IVUS , balloon catheter pp.597-602
Published Date 2004/6/1
DOI https://doi.org/10.11477/mf.1436100400
  • Abstract
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 We report a case of spontaneous vertebral arteriovenous fistula manifesting pulsating tinnitus with left cervical bruit. A 50-year-old woman presented with pulsatile tinnitus of unknown duration. Angiography revealed a simple and direct fistula between the second segment of the left vertebral artery and the epidural venous system. The fistula was well visualized by intra vascular ultra sound (IVUS). Balloon catheters were used for regulating blood flow during coil embolization,which successfully obliterated the fistula,with subsequent control of the symptoms. Postoperative course (18 months) was uneventful.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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