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. 2002 Mar 30;8(1):37-44.
doi: 10.1177/159101990200800107. Epub 2004 Oct 20.

Usefulness of Multidetector 3D-CT Angiography in the Evaluation of Infantile Perimedullary Spinal Arteriovenous Fistula

Y Iizuka  1 , K Shimoji, S Kyogoku, T Maehara, Y Yamashiro
Affiliations

Usefulness of Multidetector 3D-CT Angiography in the Evaluation of Infantile Perimedullary Spinal Arteriovenous Fistula

Y Iizuka et al. Interv Neuroradiol. .

Abstract

We report an infantile huge perimedullary spinal arteriovenous fistula (SAVF) associated with Hereditary-Hemorrhagic-Telangiectasia (HHT), which was treated by glue embolization in one session. Three-dimensional Multidetector Computed Tomography Angiography (3D-MCTA) was useful in pre- and post-endovascular intervention.

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Figures

Figure 1
Figure 1
Three dimensional reconstruction arteriography obtained by multidetector helical computed tomography confirm the arteriovenous malformation with the cutting images of the spinal canal.
Figure 2
Figure 2
Pre-interventional curved MPR image shows marked dilated vessels of the spinal arteriovenous malformation.
Figure 3
Figure 3
A) Left thyrocervical arteriography demonstrates anterior spinal artery connecting to the radiculo-medullary artery from the left 9 th intercostals artery with a single hole fistula. B) Left 7 th intercostal arteriography shows radiculo-medullary artery connecting to a single hole fistula.at the ventral surface of spinal cord at th elevel Th10. C) Left 9 thintercostal arteriography shows radiculo-medullary artery connecting to a single hole fistula at the ventral surface of spinal cord at th elevel Th10. D) Left 1st. Lumbar arteriography demonstrates radiculopial artery, which is the biggest feeding artery connecting to a single hole fistula with the dilated draining vein. E) Glue embolization closes the shunt between multifeeders and single-hole fistula.
Figure 3
Figure 3
A) Left thyrocervical arteriography demonstrates anterior spinal artery connecting to the radiculo-medullary artery from the left 9 th intercostals artery with a single hole fistula. B) Left 7 th intercostal arteriography shows radiculo-medullary artery connecting to a single hole fistula.at the ventral surface of spinal cord at th elevel Th10. C) Left 9 thintercostal arteriography shows radiculo-medullary artery connecting to a single hole fistula at the ventral surface of spinal cord at th elevel Th10. D) Left 1st. Lumbar arteriography demonstrates radiculopial artery, which is the biggest feeding artery connecting to a single hole fistula with the dilated draining vein. E) Glue embolization closes the shunt between multifeeders and single-hole fistula.
Figure 4
Figure 4
Post-interventional three-dimensional reconstruction arteriography shows glue cast and disappearance of the abnormal shunt.
Figure 5
Figure 5
Post-interventional curved MPR images confirm complete disappearance of SAVF except embolized glue deposition.
Figure 6
Figure 6
Magnetic resonance angiography demonstrate asymptomatic multiple cortical small AVM.
Figure 7
Figure 7
Helical compeuted tomography show pulmonary AVMs at left segment 3.
See this image and copyright information in PMC

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