Endovascular management of pediatric high-flow vertebro-vertebral fistula with reversed basilar artery flow. A case report and review of the literature

Honarmand, A. R.; Ansari, S. A.; Alden, T. D.; Soltanolkotabi, M.; Schoeneman, S. E.; Hurley, M. C.; Rahman, O.; Shaibani, A.

Interv Neuroradiol. 2013 May 23; 19(2):215-21

Abstract

Vertebral artery arteriovenous fistula (VAVF) is mostly known as a post-traumatic and/or iatrogenic arteriovenous complication. However, spontaneous high-flow VAVF associated with flow reversal in the basilar artery has not been reported in children. We describe a unique asymptomatic presentation of a spontaneous high-flow VAVF associated with flow reversal in the basilar artery in a pediatric patient. The literature for classification, pathophysiology, treatment strategies, and post-procedural complications is also reviewed.

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