Staged microsurgical treatment of a complex scalp arteriovenous fistula combined with type C sAVF and cirsoid aneurysm: a case report and literature review

Scalp arteriovenous fistula (sAVF) is a rare disease caused by a congenital defect or exogenous injury, but no standard treatment exists. 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. Indivi...

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Main Authors: Juncheng Wang, Tao Kuai, Aichao Du, Lihua Yu, Yuzhen Duan, Guoqiang Yuan, Dongming Ma, Yawen Pan
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1452695/full
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author Juncheng Wang
Juncheng Wang
Tao Kuai
Aichao Du
Lihua Yu
Yuzhen Duan
Guoqiang Yuan
Guoqiang Yuan
Dongming Ma
Yawen Pan
Yawen Pan
author_facet Juncheng Wang
Juncheng Wang
Tao Kuai
Aichao Du
Lihua Yu
Yuzhen Duan
Guoqiang Yuan
Guoqiang Yuan
Dongming Ma
Yawen Pan
Yawen Pan
author_sort Juncheng Wang
collection DOAJ
description Scalp arteriovenous fistula (sAVF) is a rare disease caused by a congenital defect or exogenous injury, but no standard treatment exists. 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.
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institution Kabale University
issn 2234-943X
language English
publishDate 2024-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj-art-04eb3fff5cec4c4cb1d4908c7e21d7952024-12-20T06:29:28ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2024-12-011410.3389/fonc.2024.14526951452695Staged microsurgical treatment of a complex scalp arteriovenous fistula combined with type C sAVF and cirsoid aneurysm: a case report and literature reviewJuncheng Wang0Juncheng Wang1Tao Kuai2Aichao Du3Lihua Yu4Yuzhen Duan5Guoqiang Yuan6Guoqiang Yuan7Dongming Ma8Yawen Pan9Yawen Pan10The Second Clinical Medical School, Lanzhou University, Lanzhou, ChinaDepartment of Neurosurgery, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, ChinaDepartment of Neurosurgery, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, ChinaThe Second Clinical Medical School, Lanzhou University, Lanzhou, ChinaDepartment of Radiology, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, ChinaDepartment of Function, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, ChinaDepartment of Neurosurgery, The Second Hospital of Lanzhou University, Lanzhou, ChinaGansu Provincial Key Laboratory of Neurology, Lanzhou, ChinaDepartment of Neurosurgery, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, ChinaDepartment of Neurosurgery, The Second Hospital of Lanzhou University, Lanzhou, ChinaGansu Provincial Key Laboratory of Neurology, Lanzhou, ChinaScalp arteriovenous fistula (sAVF) is a rare disease caused by a congenital defect or exogenous injury, but no standard treatment exists. 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.https://www.frontiersin.org/articles/10.3389/fonc.2024.1452695/fullscalp arteriovenous fistulacirsoid aneurysmvascular malformationmicrosurgeryinterventional embolization
spellingShingle Juncheng Wang
Juncheng Wang
Tao Kuai
Aichao Du
Lihua Yu
Yuzhen Duan
Guoqiang Yuan
Guoqiang Yuan
Dongming Ma
Yawen Pan
Yawen Pan
Staged microsurgical treatment of a complex scalp arteriovenous fistula combined with type C sAVF and cirsoid aneurysm: a case report and literature review
Frontiers in Oncology
scalp arteriovenous fistula
cirsoid aneurysm
vascular malformation
microsurgery
interventional embolization
title Staged microsurgical treatment of a complex scalp arteriovenous fistula combined with type C sAVF and cirsoid aneurysm: a case report and literature review
title_full Staged microsurgical treatment of a complex scalp arteriovenous fistula combined with type C sAVF and cirsoid aneurysm: a case report and literature review
title_fullStr Staged microsurgical treatment of a complex scalp arteriovenous fistula combined with type C sAVF and cirsoid aneurysm: a case report and literature review
title_full_unstemmed Staged microsurgical treatment of a complex scalp arteriovenous fistula combined with type C sAVF and cirsoid aneurysm: a case report and literature review
title_short Staged microsurgical treatment of a complex scalp arteriovenous fistula combined with type C sAVF and cirsoid aneurysm: a case report and literature review
title_sort staged microsurgical treatment of a complex scalp arteriovenous fistula combined with type c savf and cirsoid aneurysm a case report and literature review
topic scalp arteriovenous fistula
cirsoid aneurysm
vascular malformation
microsurgery
interventional embolization
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1452695/full
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