{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:48:57Z","timestamp":1777729737776,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:p>Vertebro-vertebral arteriovenous fistula (VV-AVF) is a rare vascular disorder with an abnormal high-flow shunt between the extracranial vertebral artery (VA), its muscular or radicular branches and an adjacent vein. To date, there are no guidelines on the best treatment for VV-AVF. We present our experience of VV-AVF treatment with covered stents in three patients and detachable coils in two patients. One patient with fistula at the V3 segment had rapid fistula recurrence one week after covered stent treatment. The possible causes of failed treatment in this patient are discussed. The currently available treatment modalities for VV-AVF are also summarized after a literature review. At the end of this article, we propose a new concept of anatomically based approach for endovascular treatment of VV-AVF. Fistula in the V1-2 segments of vertebral artery could be treated safely and effectively by covered stent with the benefit of preserving VA patency. Embolization with variable embolizers should be considered first for fistula in the V3 segment because of the tortuous course and flexibility of the VA in this segment.<\/jats:p>","DOI":"10.15274\/inr-2014-10072","type":"journal-article","created":{"date-parts":[[2014,7,17]],"date-time":"2014-07-17T02:59:55Z","timestamp":1405565995000},"page":"766-773","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":31,"title":["Anatomically Based Approach for Endovascular Treatment of Vertebro-Vertebral Arteriovenous Fistula"],"prefix":"10.1177","volume":"20","author":[{"given":"Chih-Hua","family":"Yeh","sequence":"first","affiliation":[{"name":"Department of Diagnostic Radiology, Chang Gung Memorial Hospital; Keelung, Taiwan"},{"name":"Division of Neuroradiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital; Linkou, Taiwan"},{"name":"College of Medicine and School of Medical Technology, Chang Gung University; Taoyuan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yao-Liang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, Chang Gung Memorial Hospital; Keelung, Taiwan"},{"name":"Division of Neuroradiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital; Linkou, Taiwan"},{"name":"College of Medicine and School of Medical Technology, Chang Gung University; Taoyuan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Ming","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Neuroradiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital; Linkou, Taiwan"},{"name":"College of Medicine and School of Medical Technology, Chang Gung University; Taoyuan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Chieh","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, Chang Gung Memorial Hospital; Keelung, Taiwan"},{"name":"Division of Neuroradiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital; Linkou, Taiwan"},{"name":"College of Medicine and School of Medical Technology, Chang Gung University; Taoyuan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho-Fai","family":"Wong","sequence":"additional","affiliation":[{"name":"Division of Neuroradiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital; Linkou, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,1,1]]},"reference":[{"key":"bibr1-INR-2014-10072","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.150.2.405"},{"key":"bibr2-INR-2014-10072","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.183.2.1561336"},{"key":"bibr3-INR-2014-10072","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1123"},{"issue":"3","key":"bibr4-INR-2014-10072","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1177\/096721099400200314","volume":"2","author":"Vinchon M","year":"1994","journal-title":"Cardiovasc Surg"},{"issue":"8","key":"bibr5-INR-2014-10072","first-page":"775","volume":"39","author":"Ito O","year":"2011","journal-title":"No Shinkei Geka"},{"key":"bibr6-INR-2014-10072","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1862-y"},{"key":"bibr7-INR-2014-10072","doi-asserted-by":"publisher","DOI":"10.1177\/197140091302600315"},{"issue":"3","key":"bibr8-INR-2014-10072","first-page":"269","volume":"39","author":"Ishiguro T","year":"2011","journal-title":"No Shinkei Geka"},{"key":"bibr9-INR-2014-10072","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e31820c2eaa"},{"key":"bibr10-INR-2014-10072","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2242010973"},{"issue":"7","key":"bibr11-INR-2014-10072","first-page":"667","volume":"37","author":"Hiu T","year":"2009","journal-title":"No Shinkei Geka"},{"key":"bibr12-INR-2014-10072","doi-asserted-by":"publisher","DOI":"10.1177\/1538574412452156"},{"key":"bibr13-INR-2014-10072","doi-asserted-by":"crossref","unstructured":"Mihlon F, Agrawal A, Nimjee SM, Enhanced, rapid occlusion of carotid and vertebral arteries using the AMPLATZER Vascular Plug II device: The Duke Cerebrovascular Center Experience in 8 patients with 22 AMPLATZER Vascular Plug II devices. 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