TY - JOUR T1 - Direct Percutaneous Venous Puncture and Embolization of Giant Perimedullary Arteriovenous Fistulas JF - American Journal of Neuroradiology JO - Am. J. Neuroradiol. SP - E10 LP - E13 DO - 10.3174/ajnr.A2025 VL - 32 IS - 1 AU - A. Casasco AU - L. Guimaraens AU - H. Cuellar AU - J. Theron AU - J. Heredero Y1 - 2011/01/01 UR - http://www.ajnr.org/content/32/1/E10.abstract N2 - SUMMARY: PMAVFs are rare entities that are formed by a direct communication between an artery that feeds the spinal cord and a vein. The goal of treatment is to occlude the shunt; this is done endovascularly either from an arterial or a venous approach. When these approaches are not possible, direct percutaneous puncture of the draining veins may be attempted to embolize the arteriovenous shunt directly. APanteroposteriorAVFarteriovenous fistulaAVMarteriovenous malformationDSAdigital subtraction angiographyICUintensive care unitIVintravenousn-BCAn-butyl 2-cyanoacrylatePMAVFperimedullary arteriovenous fistula ER -