Sinan BALCI, Anıl ARAT
Turkish Journal of Cerebrovascular Diseases - 2026;32(1):68-71
Vertebrovertebral arteriovenous fistulas are relatively rare vascular lesions that can be treated with endovascular approach. We present a 9-year-old girl with a large cervical vertebral artery arteriovenous fistula causing arterial steal. The fistula was treated with combined percutaneous, arterial and venous routes using Woven endoBridge (WeB) device assisted liquid embolization. The fistula was occluded completely with patent vertebral artery. The child remained neurologically intact during the early postoperative period and clinical follow-up. On control digital subtraction angiography, there was no residual fistula and both vertebral arteries were patent. WeB was originally designed as an intrasaccular flow disruptor device for the endovascular embolization of wide-necked intracranial aneurysms however this device can be used during treatment of arteriovenous fistulas and malformations.
