{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T16:52:43Z","timestamp":1770223963191,"version":"3.49.0"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>We describe a rare case of idiopathic lower cervical vertebro-vertebral arteriovenous fistula (VVAVF) with compression of the nerve roots and spinal cord, successfully treated with detachable coils utilizing the transarterial balloon-assisted technique without complication of coil mass.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 68-year-old woman was admitted for numbness of the left upper limb and pain in the left neck. Cervical magnetic resonance imaging (MRI) revealed compression of nerve roots and spinal cord by a large vascular lesion. The left vertebral angiography demonstrated a VVAVF draining into the vertebral venous plexus at C5 level. Under general anesthesia, the fistula site was accessed with a microcatheter through the right femoral artery, and successful embolization performed by compactly placing several detachable coils using balloon-assisted technique. The patient made a full recovery, with long-term MRI-documented left vertebral artery patency and no fistular leakage, and without postoperative complications.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Target occlusion utilizing the balloon-assisted technique in this case of VVAVF with compression of nerve roots and spinal cord, was effective in improving neurological symptoms, and achieved long-term occlusion when preservation of the VA was desired.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_803_2020","type":"journal-article","created":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T08:24:21Z","timestamp":1609230261000},"page":"474","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Successful balloon-assisted coil embolization for a diagnostically difficult case of spontaneous vertebrovertebral arteriovenous fistula"],"prefix":"10.25259","volume":"11","author":[{"given":"Satomi","family":"Mizuhashi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Chiba Central Medical Center, Wakaba, Chiba, Japan,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shushi","family":"Kominami","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Chiba, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazumasa","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Chiba Central Medical Center, Wakaba, Chiba, Japan,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,12,29]]},"reference":[{"key":"10.25259\/SNI_803_2020\/ref-1","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.1016\/j.wneu.2018.11.063","article-title":"Vertebral arteriovenous fistula: A review article","volume":"122","author":"Aljobeh","year":"2019","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_803_2020\/ref-2","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1148\/radiology.183.2.1561336","article-title":"Endovascular treatment of vertebral arteriovenous fistula","volume":"183","author":"Beaujeux","year":"1992","journal-title":"Radiology"},{"key":"10.25259\/SNI_803_2020\/ref-3","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1177\/197140091302600315","article-title":"Endovascular treatment of vertebrovertebral arteriovenous fistula. A report of three cases and literature review","volume":"26","author":"Briganti","year":"2013","journal-title":"Neuroradiol J"},{"key":"10.25259\/SNI_803_2020\/ref-4","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1055\/s-2004-830131","article-title":"An unusual case of vertebral arteriovenous fistula treated with electrodetachable coil embolization","volume":"47","author":"Briganti","year":"2004","journal-title":"Minim Invasive Neurosurg"},{"key":"10.25259\/SNI_803_2020\/ref-5","first-page":"8386459","article-title":"Vertebral arteriovenous fistula: An unwelcome thrill","volume":"2017","author":"Edwards","year":"2017","journal-title":"Case Rep Emerg Med"},{"key":"10.25259\/SNI_803_2020\/ref-6","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/S0890-5096(06)60706-1","article-title":"Endovascular treatment of vertebral arteriovenous fistulas in twenty-two patients","volume":"1","author":"Merland","year":"1986","journal-title":"Ann Vasc Surg"},{"key":"10.25259\/SNI_803_2020\/ref-7","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1177\/1531003513482735","article-title":"Endovascular treatment of an iatrogenic vertebrojugular fistula with a balloon-expandable covered stent: Case report and review of the literature","volume":"24","author":"Nikolopoulos","year":"2012","journal-title":"Perspect Vasc Surg Endovasc Ther"},{"key":"10.25259\/SNI_803_2020\/ref-8","doi-asserted-by":"crossref","first-page":"29","DOI":"10.5797\/jnet.cr.2017-0006","article-title":"Successful endovascular treatment with covered stent for iatrogenic vertebral arteriovenous fistula","volume":"12","author":"Okata","year":"2018","journal-title":"J Neuroendovasc Ther"},{"key":"10.25259\/SNI_803_2020\/ref-9","doi-asserted-by":"crossref","first-page":"167","DOI":"10.2176\/nmc.48.167","article-title":"Traumatic vertebro-vertebral arteriovenous fistula manifesting as radiculopathy. Case report","volume":"48","author":"Shirakawa","year":"2008","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.25259\/SNI_803_2020\/ref-10","first-page":"359","article-title":"Vertebral arteriovenous fistulas: A study of 49 cases and review of the literature","volume":"2","author":"Vinchon","year":"1994","journal-title":"Cardiovasc Surg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/successful-balloon-assisted-coil-embolization-for-a-diagnostically-difficult-case-of-spontaneous-vertebrovertebral-arteriovenous-fistula\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/successful-balloon-assisted-coil-embolization-for-a-diagnostically-difficult-case-of-spontaneous-vertebrovertebral-arteriovenous-fistula\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T08:24:26Z","timestamp":1609230266000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/successful-balloon-assisted-coil-embolization-for-a-diagnostically-difficult-case-of-spontaneous-vertebrovertebral-arteriovenous-fistula\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,29]]},"references-count":10,"alternative-id":["10.25259\/SNI_803_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_803_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,29]]},"article-number":"474"}}