Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula

摘要

Background:Scalp arteriovenous fistula(sAVF)is a rare vascular disease;so far,the standard guidelines for the treatment of sAVF are still unclear.Since its complex vascular anatomical structure,surgical management of sAVF remains an enormous challenge.Methods:Between March 2016 and October 2017,three patients with sAVF admitted to the First Affiliated Hospital of Chongqing Medical University were reviewed,and clinical characteristics,imaging features,and surgical outcomes were analyzed.Results:Three consecutive patients with sAVF were admitted to our hospital during the study period.Two patients received intravascular embolization and one patient received surgical resection.No procedure-related complications occurred after successfully treatment.During the long-term follow-up period,three patients recovered well and had no recurrence of lesion.Conclusions:Either intravascular embolization or surgical resection is an effective therapy method for sAVF.Careful identification of angioarchitecture features contributes to successful treatment for the complex sAVF;therefore,it is recommended that neurosurgeons make the best treatment plan based on the location and number of the fistulas,feeding the artery,and draining the vein.