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Retrograde Cannulation of the Draining Vein for Embolization of Filum Terminale Arteriovenous Fistula in the Lower Sacral Region

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收录情况： ◇ SCIE

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机构： [1]Departments of Interventional Neuroradiology, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Departments of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China

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关键词： Arteriovenous fistula Draining vein Filum terminale Hybrid treatment Lower sacral region Retrograde cannulation

摘要：

Background: Filum terminale arteriovenous fistulae (FTAVFs) are rare entities. For those with the fistulous point located in the lower sacral region (below S2), neither surgical nor endovascular strategies are the optimal treatment. Case Description: We describe 2 FTAVF cases with the fistulous point below S2: one had the anterior spinal artery (ASA) as a single feeder with a long distance to the fistula and the other developed an inaccessible feeder after the initial non-ASA feeder embolization. In a hybrid operating room, through an L4 laminectomy, we surgically exposed and cannulated the cephalad draining vein, other than the feeding arteries, to retrograde occlude the proximal draining vein along with the fistulous point and feeders using Onyx. All shunt points were obliterated with the help of intraoperative digital subtraction angiography. Conclusions: Retrograde embolization of the draining vein to obliterate FTAVFs in the lower sacral region is feasible and complete. This technique may provide a new treatment option for FTAVFs. © 2019 Elsevier Inc.

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出版当年[2018]版：

大类 | 3 区医学

小类 | 3 区外科 4 区临床神经病学

最新[2023]版：

大类 | 4 区医学

小类 | 4 区临床神经病学 4 区外科

JCR分区：

出版当年[2017]版：

Q2 SURGERY Q3 CLINICAL NEUROLOGY

最新[2023]版：

Q2 SURGERY Q3 CLINICAL NEUROLOGY

影响因子： 1.9 最新[2023版] 2 最新五年平均 1.924 出版当年[2017版] 2.326 出版当年五年平均 2.592 出版前一年[2016版] 1.723 出版后一年[2018版]

第一作者：

第一作者机构： [1]Departments of Interventional Neuroradiology, Xuanwu Hospital, Capital Medical University, Beijing, China

通讯作者：

通讯机构： [2]Departments of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China

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