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01-10-2007 | Original Article

Multi-detector-row CT angiography as a preoperative evaluation for spinal arteriovenous fistulae

Authors: Satoshi Yamaguchi, Kuniki Eguchi, Yoshihiro Kiura, Masaaki Takeda, Tetsuya Nagayama, Hiroyuki Uchida, Yoko Ito, Takuhiro Hotta, Kazunori Arita, Kaoru Kurisu

Published in: Neurosurgical Review | Issue 4/2007

Abstract

The role of multi-detector-row computed tomographic angiography (MDCTA) in spinal vascular malformations has not yet been determined. We present a report on a short series of spinal arteriovenous fistulae (AVF) evaluated by MDCTA. With 4-row and 16-row MDCTA, three cases of spinal dural AVF and one case of perimedullary AVF were examined. Each case was also examined by magnetic resonance (MR) imaging and spinal catheter angiography. In two patients with spinal dural AVF, including one patient with angiographically occult AVF, MDCTA successfully located the site of the AVF in a multi-planar reformation image. MDCTA failed to locate the remaining case of spinal dural AVF, probably due to the small amount of shunting blood volume at the fistula. In a patient with perimedullary AVF, MDCTA visualized the broad range of the lesion, including the anterior spinal artery as a single feeder, the fistulous point, and the single perimedullary draining vein. In conclusion, although conventional spinal angiography might be still essential, MDCTA provides useful information for the surgeon in treatment of the spinal dural AVF. Further accumulation of clinical cases is required to determine the potential of MDCTA for perimedullary AVF. MDCTA should be considered as a choice of investigation in the evaluation of spinal AVFs.

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Title: Multi-detector-row CT angiography as a preoperative evaluation for spinal arteriovenous fistulae
Authors: Satoshi Yamaguchi
Kuniki Eguchi
Yoshihiro Kiura
Masaaki Takeda
Tetsuya Nagayama
Hiroyuki Uchida
Yoko Ito
Takuhiro Hotta
Kazunori Arita
Kaoru Kurisu
Publication date: 01-10-2007
Publisher: Springer-Verlag
Published in: Neurosurgical Review / Issue 4/2007
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-007-0088-2

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Multi-detector-row CT angiography as a preoperative evaluation for spinal arteriovenous fistulae

Abstract

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