Comprehensive surgery of complex scalp arteriovenous fistula: a successful trial

BackgroundTraumatic scalp arteriovenous fistula is a rare vascular abnormality. Open surgical removal and embolization have been employed to address this condition.MethodsIn this report, we present a case involving a 41-year-old man who exhibited a progressively enlarging pulsatile mass in his right...

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Main Authors: Zhiming Ma, Zhihao Zou, Dajiang Xie, Linlin Qian
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Surgery
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Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2024.1492616/full
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author Zhiming Ma
Zhihao Zou
Dajiang Xie
Linlin Qian
author_facet Zhiming Ma
Zhihao Zou
Dajiang Xie
Linlin Qian
author_sort Zhiming Ma
collection DOAJ
description BackgroundTraumatic scalp arteriovenous fistula is a rare vascular abnormality. Open surgical removal and embolization have been employed to address this condition.MethodsIn this report, we present a case involving a 41-year-old man who exhibited a progressively enlarging pulsatile mass in his right occipital scalp. Computerized tomography angiography (CTA) and digital subtraction angiography (DSA) identified a complex scalp arteriovenous fistula (S-AVF). The combination of clinical symptoms and neuroimaging findings facilitated the diagnosis.ResultsFollowing a thorough discussion, we implemented a comprehensive strategy that included both endovascular embolization and surgical resection. The patient demonstrated an excellent prognosis with no reported discomfort.ConclusionsA comprehensive surgical approach should be considered in the management of patients with complex scalp arteriovenous fistula.
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spelling doaj-art-b235195cb33b4e19aa9bf3c34e1aa45f2025-01-13T06:10:29ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-01-011110.3389/fsurg.2024.14926161492616Comprehensive surgery of complex scalp arteriovenous fistula: a successful trialZhiming Ma0Zhihao Zou1Dajiang Xie2Linlin Qian3Department of Neurosurgery, General Hospital of Xinjiang Military Command, Urumqi, ChinaDepartment of Neurosurgery, General Hospital of Xinjiang Military Command, Urumqi, ChinaDepartment of Neurosurgery, Sir Run Run Shaw Hospital, College of Medical Sciences, Zhejiang University, Hangzhou, ChinaDepartment of Neurosurgery, General Hospital of Xinjiang Military Command, Urumqi, ChinaBackgroundTraumatic scalp arteriovenous fistula is a rare vascular abnormality. Open surgical removal and embolization have been employed to address this condition.MethodsIn this report, we present a case involving a 41-year-old man who exhibited a progressively enlarging pulsatile mass in his right occipital scalp. Computerized tomography angiography (CTA) and digital subtraction angiography (DSA) identified a complex scalp arteriovenous fistula (S-AVF). The combination of clinical symptoms and neuroimaging findings facilitated the diagnosis.ResultsFollowing a thorough discussion, we implemented a comprehensive strategy that included both endovascular embolization and surgical resection. The patient demonstrated an excellent prognosis with no reported discomfort.ConclusionsA comprehensive surgical approach should be considered in the management of patients with complex scalp arteriovenous fistula.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1492616/fullscalp arteriovenous fistula (S-AVF)comprehensive approachendovascular embolizationsurgical resectiontrauma
spellingShingle Zhiming Ma
Zhihao Zou
Dajiang Xie
Linlin Qian
Comprehensive surgery of complex scalp arteriovenous fistula: a successful trial
Frontiers in Surgery
scalp arteriovenous fistula (S-AVF)
comprehensive approach
endovascular embolization
surgical resection
trauma
title Comprehensive surgery of complex scalp arteriovenous fistula: a successful trial
title_full Comprehensive surgery of complex scalp arteriovenous fistula: a successful trial
title_fullStr Comprehensive surgery of complex scalp arteriovenous fistula: a successful trial
title_full_unstemmed Comprehensive surgery of complex scalp arteriovenous fistula: a successful trial
title_short Comprehensive surgery of complex scalp arteriovenous fistula: a successful trial
title_sort comprehensive surgery of complex scalp arteriovenous fistula a successful trial
topic scalp arteriovenous fistula (S-AVF)
comprehensive approach
endovascular embolization
surgical resection
trauma
url https://www.frontiersin.org/articles/10.3389/fsurg.2024.1492616/full
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AT zhihaozou comprehensivesurgeryofcomplexscalparteriovenousfistulaasuccessfultrial
AT dajiangxie comprehensivesurgeryofcomplexscalparteriovenousfistulaasuccessfultrial
AT linlinqian comprehensivesurgeryofcomplexscalparteriovenousfistulaasuccessfultrial