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Vertebral arteriovenous fistula final angiogram
 

Pre angiogram

Final angiogram

Courtesy of Dr. Brian Schirf and Dr. Peter Pema

CASE DESCRIPTION

PHYSICIAN RATIONALE

VESSELS EMBOLIZED

DEVICES USED

⋅ 5mm MVP device

⋅ Embolic coils

Vertebral artery

Coils were deployed as initial occlusion device. However, flow persisted despite coil pack due to hypertrophy of the vessels.

The MVP device was selected because the PTFE covering enables full vessel sealing. Once the MVP device was deployed, mechanical vessel occlusion was achieved with no persistent flow. 

Mid 20-year-old male with gun shot wound to upper back.

Vertebral pseudoaneurysm progressed to fistula.

Vertebral arteriovenous fistula

Vertebral artery

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MVP

micro vascular plug system

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