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 CASE REPORT
Year : 2004  |  Volume : 52  |  Issue : 1  |  Page : 87--90

Endovascular management of intracranial pial arterio-venous fistulas


Division of Interventional Neuroradiology, Department of Radiology, Seth G. S. Medical College and King Edward Memorial Hospital, Parel, Mumbai, India

Correspondence Address:
U S Limaye
Interventional Neuroradiology, Department of Radiology, K. E. M. Hospital, Parel, Mumbai
India
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Source of Support: None, Conflict of Interest: None


PMID: 15069247

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From 1996-2002 we treated 5 consecutive cases of pial fistula. There were 3 patients with a single hole-single channel pial fistula and two patients had a complex pial fistula. Three patients presented with intracerebral hematoma and had a focal neurological deficit. One patient presented with history of seizures and 1 patient had headache. The results of the treatment were analyzed both clinically and angiographically. The follow-up period ranged from 6 months to 6 years. All fistulas were treated with concentrated glue. The glue cast included the distal part of the feeding artery, A-V connection and the proximal part of the vein. Post-embolisation angiography showed complete occlusion of two single-hole fistulas and one complex pial A-V fistula and near total occlusion of one single-hole and one complex pial A-V fistula. Four patients had excellent clinical outcome. One patient with single-hole fistula had a hemorrhagic venous infarct resulting in transient hemiparesis.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow