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De novo aneurysm formation of a feeder artery after embolization of a dural arteriovenous fistula and rupture during second embolization

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机构: [1]Department of Neurosurgery, Lanzhou University Second Hospital, Gansu, China [2]Department of Cardiovascular Medicine, Yulin No. 2 Hospital, Shaanxi, China [3]Department of Neurosurgery, Yulin No. 2 Hospital, Shaanxi, China [4]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
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关键词: Dural arteriovenous fistula endovascular Onyx de novo aneurysm hemorrhage

摘要:
Objective: Hemorrhage during embolization of dural arteriovenous fistula (DAVF) is a rare but devastating complication. This study was undertaken to analyze the causes of hemorrhage and avoid complication. Methods: The clinical data of a case of DAVF with hemorrhagic complication were retrospectively collected and analyzed. Results: The patient in this case presented with DAVF and two de novo aneurysms of a feeder artery after the first embolization. One de novo aneurysm ruptured during the second embolization of the DAVF because of hemodynamic change. Computed tomography showed a subdural hematoma, and surgical exploration was emergently performed. However, the patient died at postoperative day 10. Conclusions: De novo aneurysm of a feeder artery may form after embolization of DAVF because of hemodynamic change. It has a high risk of rupture and should be a primary consideration in embolization of DAVF.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 核医学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 核医学
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出版当年[2016]版:
Q4 CLINICAL NEUROLOGY Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q3 CLINICAL NEUROLOGY Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Q4 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]Department of Neurosurgery, Lanzhou University Second Hospital, Gansu, China
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通讯作者:
通讯机构: [4]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [*1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, No. 6, Tiantan Xili, Dongcheng District, Beijing 100050, China.
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