Emergent Hybrid Treatment of a Ruptured Scalp Arteriovenous Fistula with Eyelid involvement: Technical Note

Juan Felipe Abaunza-Camacho; David Vergara-Garcia; Francisco Perez; Camilo Benavides; Alberto Caballero; Jorge Torres; William Mauricio Riveros

doi:10.1055/s-0041-1723848

Emergent Hybrid Treatment of a Ruptured Scalp Arteriovenous Fistula with Eyelid involvement: Technical Note

Título traducido de la contribución: Tratamiento híbrido emergente de una fístula arteriovenosa del cuero cabelludo rota con afectación de los párpados: Nota técnica

Juan Felipe Abaunza-Camacho, David Vergara-Garcia, Francisco Perez, Camilo Benavides, Alberto Caballero, Jorge Torres, William Mauricio Riveros

Escuela de Medicina y Ciencias de la Salud

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2 Citas (Scopus)

Resumen

Las fístulas arteriovenosas (FAV) del cuero cabelludo son una enfermedad vascular poco frecuente que suele presentarse como una masa pulsátil que aumenta progresivamente en el cuero cabelludo. Estas lesiones pueden asociarse a complicaciones de leves a graves, incluida la insuficiencia cardíaca congestiva. En caso de rotura, esta patología constituye una urgencia médica potencialmente mortal por su potencial para causar hemorragias graves y anemia aguda. Métodos Describimos el caso de una mujer joven con una FAV del cuero cabelludo tipo C de Yokouchi rota con afectación de los párpados. Resultados La paciente presentó shock hipovolémico y anemia aguda por hemorragia grave de la lesión. Fue necesario un tratamiento urgente mediante un abordaje combinado endovascular y quirúrgico abierto para detener la hemorragia y estabilizar a la paciente. Conclusiones Se requiere un tratamiento urgente y eficaz para detener la hemorragia cuando se rompe una FAV del cuero cabelludo. La combinación de embolización endovascular y escisión microquirúrgica de la derivación es una opción de tratamiento.

Título traducido de la contribución	Tratamiento híbrido emergente de una fístula arteriovenosa del cuero cabelludo rota con afectación de los párpados: Nota técnica
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	490-493
Número de páginas	4
Publicación	Journal of Neurological Surgery, Part A: Central European Neurosurgery
Volumen	82
N.º	5
DOI	https://doi.org/10.1055/s-0041-1723848
Estado	Publicación electrónica previa a su impresión - abr. 21 2021

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Cirugía
Neurología clínica

ODS de las Naciones Unidas

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Abaunza-Camacho, J. F., Vergara-Garcia, D., Perez, F., Benavides, C., Caballero, A., Torres, J., & Riveros, W. M. (2021). Emergent Hybrid Treatment of a Ruptured Scalp Arteriovenous Fistula with Eyelid involvement: Technical Note. Journal of Neurological Surgery, Part A: Central European Neurosurgery, 82(5), 490-493. Avanzar publicación online. https://doi.org/10.1055/s-0041-1723848

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title = "Emergent Hybrid Treatment of a Ruptured Scalp Arteriovenous Fistula with Eyelid involvement: Technical Note",

abstract = "Background Scalp arteriovenous fistulas (AVFs) are a rare vascular disease usually presenting as a progressively increasing pulsating mass in the scalp. These lesions can be associated with mild to severe complications, including congestive heart failure. If ruptures, this pathology constitutes a life-threatening medical emergency because of its potential to cause severe bleeding and acute anemia. Methods We describe the case of a young woman with a ruptured Yokouchi type C scalp AVF with eyelid involvement. Results The patient presented with hypovolemic shock and acute anemia due to severe bleeding from the lesion. Emergent treatment through a combined endovascular and open surgical approach was required to stop bleeding and stabilize the patient. Conclusions Emergent and effective treatment is required to stop bleeding when a scalp AVF ruptures. A combination of endovascular embolization and microsurgical excision of the shunt is a treatment option.",

author = "Abaunza-Camacho, {Juan Felipe} and David Vergara-Garcia and Francisco Perez and Camilo Benavides and Alberto Caballero and Jorge Torres and Riveros, {William Mauricio}",

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doi = "10.1055/s-0041-1723848",

language = "English (US)",

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pages = "490--493",

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Emergent Hybrid Treatment of a Ruptured Scalp Arteriovenous Fistula with Eyelid involvement: Technical Note. / Abaunza-Camacho, Juan Felipe; Vergara-Garcia, David; Perez, Francisco et al.
En: Journal of Neurological Surgery, Part A: Central European Neurosurgery, Vol. 82, N.º 5, 21.04.2021, p. 490-493.

Producción científica: Contribución a una revista › Artículo de Investigación › revisión exhaustiva

TY - JOUR

T1 - Emergent Hybrid Treatment of a Ruptured Scalp Arteriovenous Fistula with Eyelid involvement

T2 - Technical Note

AU - Abaunza-Camacho, Juan Felipe

AU - Vergara-Garcia, David

AU - Perez, Francisco

AU - Benavides, Camilo

AU - Caballero, Alberto

AU - Torres, Jorge

AU - Riveros, William Mauricio

PY - 2021/4/21

Y1 - 2021/4/21

N2 - Background Scalp arteriovenous fistulas (AVFs) are a rare vascular disease usually presenting as a progressively increasing pulsating mass in the scalp. These lesions can be associated with mild to severe complications, including congestive heart failure. If ruptures, this pathology constitutes a life-threatening medical emergency because of its potential to cause severe bleeding and acute anemia. Methods We describe the case of a young woman with a ruptured Yokouchi type C scalp AVF with eyelid involvement. Results The patient presented with hypovolemic shock and acute anemia due to severe bleeding from the lesion. Emergent treatment through a combined endovascular and open surgical approach was required to stop bleeding and stabilize the patient. Conclusions Emergent and effective treatment is required to stop bleeding when a scalp AVF ruptures. A combination of endovascular embolization and microsurgical excision of the shunt is a treatment option.

AB - Background Scalp arteriovenous fistulas (AVFs) are a rare vascular disease usually presenting as a progressively increasing pulsating mass in the scalp. These lesions can be associated with mild to severe complications, including congestive heart failure. If ruptures, this pathology constitutes a life-threatening medical emergency because of its potential to cause severe bleeding and acute anemia. Methods We describe the case of a young woman with a ruptured Yokouchi type C scalp AVF with eyelid involvement. Results The patient presented with hypovolemic shock and acute anemia due to severe bleeding from the lesion. Emergent treatment through a combined endovascular and open surgical approach was required to stop bleeding and stabilize the patient. Conclusions Emergent and effective treatment is required to stop bleeding when a scalp AVF ruptures. A combination of endovascular embolization and microsurgical excision of the shunt is a treatment option.

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Emergent Hybrid Treatment of a Ruptured Scalp Arteriovenous Fistula with Eyelid involvement: Technical Note

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