Turkish Neurosurgery 2024 , Vol 34 , Num 2
Embolization of a Non-Galenic Pial Arteriovenous Fistula with Assistance of a SolitaireTM Stent: Case Report
Yu ZHOU1,Qiang LI1,Jia-nan LI1,Yi XU1,Jian-Min LIU1
1Second Military Medical University, Changhai Hospital, Department of Neurosurgery, Shanghai, China DOI : 10.5137/1019-5149.JTN.29642-20.2 This study aimed to describe a novel endovascular strategy to help control blood flow used successfully to treat an infant with highflow pial arteriovenous fistula (AVF).

Here, a single-hole high-flow nongalenic pial AVF was diagnosed in a 2.5 year-old infant is presented. After coil packing failure despite temporal balloon occlusion, we deployed a SolitaireTM stent in the fistula. By twisting with detachable coils, we achieved satisfactory blood flow control, and obliteration of the fistula was achieved with Onyx injection.

In conclusion, SolitaireTM stent deployment in the high-flow pial AVF can help stabilize the coils in the fistula, leading to satisfactory blood control. This strategy may be a valuable addition to currently available options. Keywords : Pial arteriovenous fistula, Vascular disorder, Embolization

Corresponding author : Jian-Min LIU, chstroke@163.com