Secondary clinical deterioration after successful embolization of a spinal dural arteriovenous fistula: a plea for prophylactic anticoagulation.

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
J KnopmanY P Gobin

Abstract

We present a case of delayed aggravation of initially-resolved symptoms in a patient after successful embolization of a T5 spinal dural arteriovenous (AV) fistula with N-butyl cyanoacrylate. The symptoms were attributed to venous thrombosis and resolved with systemic anticoagulation after five days of treatment. Although the most adequate treatment for preventing venous thrombosis after spinal dural AV fistula is not known, we describe this patient as a case for more aggressive prophylactic anticoagulation measures in the immediate post-embolization time period.

References

May 1, 1989·Journal of Neurosurgery·W A HallJ L Doppman
Jun 1, 1989·Journal of Neurosurgery·M K Morgan, W R Marsh
Apr 29, 2005·The New England Journal of Medicine·Jan Stam
Apr 1, 1997·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Y P Gobin
Sep 4, 2008·Journal of Neurosurgery. Spine·Tsuyoshi OhtaMasatsune Ishikawa

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Citations

Jul 9, 2016·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Jinlu YuHongfa Yang
Jul 20, 2019·Journal of Neurosurgery. Spine·Kiyoharu ShimizuSatoshi Yamaguchi

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