Management of traumatic scalp arteriovenous fistula Case report and literature review

Rationale: Blunt traumatic arteriovenous fistula (AVF) of scalp, are uncommon and most of them can be secured by simple embolization or surgical ligation of the feeders. Our goal in writing this paper is to show patients with traumatic scalp AVFs how to prevent complications and the likelihood of recurrence. Patient concerns: Complete treatment and reduce the recurrence rate of traumatic AVF on the scalp. Diagnoses: Traumatic scalp AVF. Interventions: Transarterial embolization and surgical resection. Outcomes: Complete resection of the AVF and subsequent angiography showed resolution of the contralateral lesion. Lessons: Combination of endovascular embolization with subsequent surgical removal may reduce intraoperative blood loss compared with surgery alone. In addition, a well-designed scalp flap can be performed based on the angiography findings after embolization.