ARTERIOVENOUS-FISTULA OF THE SCALP SECONDARY TO PUNCH AUTOGRAFT HAIR TRANSPLANTATION - ANGIOARCHITECTURE, HISTOPATHOLOGY, AND ENDOVASCULAR AND SURGICAL THERAPY

Hair transplantation for the treatment of male pattern alopecia is a c ommonly performed cosmetic procedure, The punch autograft technique is frequently employed and is notable for its simplicity and low complic ation rate.(1-3) Arteriovenous fistula of the scalp is an infrequent c omplication.(4-8) Detailed angiographic and histopathologic features o f these lesions, as well as their similarity to congenital vascular ma lformations of the scalp, have not been described previously, This art icle describes the angioarchitecture, combined endovascular and surgic al management, and histopathology of an arteriovenous fistula of the s calp resulting from punch autograft hair transplantation. The importan ce of detailed angiographic analysis of the lesion for a successful tr eatment outcome is emphasized.