Microsurgical resection assisted by 3D Slicer three-dimensional reconstruction technology for scalp arteriovenous fistula:a case report and literature review
WANG Jun-cheng
LI Min
MA Yi-ze
LAN Yan-ping
KUAI Tao
MA Dong-ming
Abstract：Objective To summarize the experience of 3D Slicer three-dimensional reconstruction technology-assisted microsurgery in the treatment of scalp arteriovenous fistula (sAVF). Methods The clinical data of a 15-year-old male with sAVF were retrospectively analyzed,and relevant literatures were reviewed and analyzed. Results The case reported in this paper was a 15-year-old male who was admitted to the hospital due to a right temporal scalp mass found for 15 years and an increase for 1 month. The initial size of the right temporal scalp mass was approximately 1 cm and gradually increased to approximately 3 cm. The skin color was normal,a vascular murmur can be heard and a blood flow pulsation can be felt. Preoperative CTA examination revealed a large and abnormal vascular mass under the scalp at the level of the right temporal superior line,and a suspected fistula between the superficial temporal artery and the superficial temporal vein at the level of the zygomatic arch. Three-dimensional reconstruction of CTA data using 3D Slicer software showed that the superficial temporal artery and the superficial temporal vein communicated at the level of the temporal line,confirming the diagnosis of sAVF. After adequate preoperative assessment,microsurgery was selected to completely resect the abnormal vascular mass. After discharge,the patient was followed up for 2 years,and the scalp condition was favorable with no recurrence. Conclusion Based on CTA data,the application of 3D Slicer software for three-dimensional reconstruction can assist in identifying the fistula of sAVF,help confirm the diagnosis,and assist in the complete removal of the arteriovenous fistula through microsurgery,achieving a curative effect.
Keywords：Scalp arteriovenous fistulaMicrosurgery3D Slicer three-dimensional reconstruction technologyComputed Tomography Angiography (CTA)
Publication Date：2024-09-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 548-551 )