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
Radiologyjournal_title
Radiologyauthors
Widlus DM,Murray RR,White RI Jr,Osterman FA Jr,Schreiber ER,Satre RW,Mitchell SE,Kaufman SL,Williams GM,Weiland AJdoi
10.1148/radiology.169.2.3175000subject
Has Abstractpub_date
1988-11-01 00:00:00pages
511-6issue
2eissn
0033-8419issn
1527-1315journal_volume
169pub_type
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