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pubmed-article:17171099pubmed:dateCreated2006-12-15lld:pubmed
pubmed-article:17171099pubmed:abstractTextThe objective and importance of this study was to describe the challenges encountered with treating a high-flow vertebral arteriovenous fistula (AVF) and ruptured aneurysm in a patient with life-threatening hemorrhage. A 36-year-old female with Neurofibromatosis type 1 (NF1) presented 2 weeks after uneventful cesarean section with a rapidly expanding pulsatile neck mass. Angiography demonstrated a complex left vertebral AVF and multiple associated vertebral artery aneurysms. Emergent endovascular coil embolization was performed using a retrograde and antegrade approach to occlude the fistulas and trap the ruptured aneurysm, successfully treating the acute hemorrhage. Subsequent definitive therapy was accomplished utilizing a combined neurointerventional and neurosurgical strategy of direct-puncture acrylic embolization and ligation of the vertebral artery. Recent advances in neurointerventional technology allow novel approaches in the primary and/or preoperative treatment of complex vascular lesions such as those seen in NF1.lld:pubmed
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pubmed-article:17171099pubmed:authorpubmed-author:HersheyB LBLlld:pubmed
pubmed-article:17171099pubmed:authorpubmed-author:RothT CTClld:pubmed
pubmed-article:17171099pubmed:authorpubmed-author:MannessW KWKlld:pubmed
pubmed-article:17171099pubmed:authorpubmed-author:YazdiJJlld:pubmed
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pubmed-article:17171099pubmed:volume10lld:pubmed
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pubmed-article:17171099pubmed:pagination35-41lld:pubmed
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pubmed-article:17171099pubmed:articleTitleComplex vertebral arteriovenous fistula and ruptured aneurysm in neurofibromatosis: a therapeutically challenging case.lld:pubmed
pubmed-article:17171099pubmed:publicationTypeJournal Articlelld:pubmed