Endovascular treatment of pediatric pial arteriovenous fistulas: report of three cases and review of literature
PAN Li
LIU-Peng
QIN-Jie
CHEN Jian
FENG Lei
LIU Jun
YANG Ming
MA Lian-ting
Abstract：Objective To investigate the clinical characteristics,and diagnosis and treatment of pediatric pial arteriovenous fistulas (PAVFs).Methods The clinical data of 3 pediatric patients with PAVFs undergoing endovascular embolization from July,2013 to July,2015 were analyzed retrospectively.Results Of 3 patients with single orificium fistula associated with giant venous varices (3～6 cm),2 underwent successful embolization of the fistulas and venous varices with coils and 18％ ONYX,and 1 only embolization of the feeding artery and fistula by double microcatheters technique.DSA immediately after the embolization showed that the orificium fistulas completely disappeared in 3 patients.All the patients were followed up from 6 to 24 months.No complications including neurological deficits and so on occurred and no fistula recurred in 3 patients during the following-up.Conclusions The curative effects of endovascular embolization on the pediatric PAVFs are good.Three-dimensional fusion images are helpful to understanding of the characteristics and making of operative plan of the PAVFs in children.
Keywords：Pial arteriovenous fistulasChildrenEndovascular therapyCurative effect
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 209-212 )