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CASE REPORT article
Front. Oncol.
Sec. Surgical Oncology
Volume 14 - 2024 |
doi: 10.3389/fonc.2024.1452695
Staged Microsurgical Treatment Of A Complex Scalp Arteriovenous Fistula Combined With Type C and CA: A Case Report
Provisionally accepted- 1 Department of Neurosurgery, People’s Hospital of Ningxia Hui Autonomous Region, Lanzhou University, Lanzhou, China
- 2 Department of Neurosurgery, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, China
- 3 Department of Radiology, People’s Hospital of Ningxia Hui Autonomous Region,, Yinchuan,, China
- 4 Department of Function, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan,, China
- 5 Lanzhou University Second Hospital, Lanzhou, Gansu Province, China
- 6 Department of Neurology, Lanzhou University Second Hospital, Lanzhou, Gansu Province, China
Scalp arteriovenous fistula (sAVF) is a rare disease caused by a congenital defect or an exogenous injury, but there is still no standard treatment. In this article, we report a rare case of sAVF combined with type C sAVF and cirsoid aneurysm (CA), which was successfully treated by staging microsurgery. Individualized surgical incisions were designed based on the size and range of the sAVF, and then staging microsurgery was performed. The first surgery was performed by selectively ligating the supply arteries and fistula of the sAVF. The second surgery was performed by total excision of the vascular malformation a month later. The volume of the vascular malformation in the subcutaneous area decreased after the first surgery and the vascular malformation in the subcutaneous area was completely removed after the second surgery. In the end, we conclude that the nidus or fistula can be removed entirely through personalized surgical incisions for complicated sAVF combined with type C sAVF and CA.
Keywords: Scalp arteriovenous fistula, Cirsoid aneurysm, vascular malformation, Microsurgery, interventional embolization
Received: 03 Sep 2024; Accepted: 04 Nov 2024.
Copyright: © 2024 Wang, Kuai, Yu, Duan, Yuan, Ma and Pan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Tao Kuai, Department of Neurosurgery, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, China
Lihua Yu, Department of Radiology, People’s Hospital of Ningxia Hui Autonomous Region,, Yinchuan,, China
Yuzhen Duan, Department of Function, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan,, China
Dongming Ma, Department of Neurosurgery, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, China
Yawen Pan, Department of Neurology, Lanzhou University Second Hospital, Lanzhou, Gansu Province, China
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