Congenital arteriovenous malformations: tailored embolotherapy.

Abstract:

:Congenital arteriovenous malformations (AVMs) involving the pelvis or an extremity were occluded in 16 symptomatic patients, who subsequently underwent tailored embolotherapy. An additional 11 patients did not undergo embolization due to unfavorable vascular anatomy or lack of significant symptoms. Permanent occlusive agents including isobutyl cyanoacrylate, particles of polyvinyl alcohol foam, and coils were used to embolize the multiple feeding vessels and, when possible, the nidus of the AVM. All patients experienced dramatic reduction in pain and resolution of ulceration and bleeding, with a mean follow-up period of 41 months. Symptoms recurred in four patients but again resolved with repeat embolization. The authors conclude that selective and repetitive embolization is highly effective in palliation of symptomatic congenital AVMs.

journal_name

Radiology

journal_title

Radiology

authors

Widlus DM,Murray RR,White RI Jr,Osterman FA Jr,Schreiber ER,Satre RW,Mitchell SE,Kaufman SL,Williams GM,Weiland AJ

doi

10.1148/radiology.169.2.3175000

subject

Has Abstract

pub_date

1988-11-01 00:00:00

pages

511-6

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

169

pub_type

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