Dissecting pseudoaneurysm in a spinal cord AVM treated by flow diversion: Technical note

Rasmus Holmboe Dahl; Anders Kruse; Georges Rodesch; Goetz Benndorf

doi:10.1177/15910199231167909

Dissecting pseudoaneurysm in a spinal cord AVM treated by flow diversion: Technical note

Rasmus Holmboe Dahl, Anders Kruse, Georges Rodesch, Goetz Benndorf

Abstract

We report the case of a 29-year-old woman presenting with severe back pain and S1-radiculopathy. Digital subtraction angiography revealed a spinal cord arteriovenous malformation complicated by acute feeder dissection and pseudoaneurysm (PA) formation causing mass effect. After conservative management with limited angiographic and clinical improvement, selective treatment of the PA by flow diversion (FD) led to occlusion and shrinkage with the resolution of clinical symptoms. FD may be a feasible treatment option for spinal artery aneurysms in selected patients with favorable anatomy. The need for antiplatelet therapy is a limitation of its use with currently available devices.

Original language	English
Journal	Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
Pages (from-to)	15910199231167909
ISSN	1123-9344
DOIs	https://doi.org/10.1177/15910199231167909
Publication status	E-pub ahead of print - 16 Apr 2023

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Dissecting pseudoaneurysm in a spinal cord AVM treated by flow diversion : Technical note. / Dahl, Rasmus Holmboe ; Kruse, Anders; Rodesch, Georges et al.

In: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 16.04.2023, p. 15910199231167909.

Research output: Contribution to journal › Journal article › Research › peer-review

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AB - We report the case of a 29-year-old woman presenting with severe back pain and S1-radiculopathy. Digital subtraction angiography revealed a spinal cord arteriovenous malformation complicated by acute feeder dissection and pseudoaneurysm (PA) formation causing mass effect. After conservative management with limited angiographic and clinical improvement, selective treatment of the PA by flow diversion (FD) led to occlusion and shrinkage with the resolution of clinical symptoms. FD may be a feasible treatment option for spinal artery aneurysms in selected patients with favorable anatomy. The need for antiplatelet therapy is a limitation of its use with currently available devices.

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Dissecting pseudoaneurysm in a spinal cord AVM treated by flow diversion: Technical note

Abstract

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