Ethanol embolotherapy of foot arteriovenous malformations

Slides:

Advertisements

Similar presentations

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.

Advertisements

Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas Zhongming Zhang, MD, Min Yang, MD, Li Song, MD, Xiaoqiang Tong, MD,

Without prejudice Journal of Vascular Surgery

Management strategy for spontaneous isolated dissection of the superior mesenteric artery based on morphologic classification Dong-lin Li, MD, Yang-yan.

Extracranial infected carotid artery aneurysm

New routing alternative for proximal anterior tibial artery bypass in patients with Buerger disease Taeseung Lee, MD, PhD, Hwan Do Ra, MD, Yang Jin Park,

Ethanol embolotherapy of hand arteriovenous malformations

Mohammed Al-Omran, MD, MSc Journal of Vascular Surgery

Retrograde migration of an abdominal aortic aneurysm endograft leading to postoperative renal failure Barry T. Katzen, MD, Alexandra A. MacLean, MD,

Chris Burke, MD, Sherene Shalhub, MD, MPH, Benjamin W. Starnes, MD

Endovascular treatment combined with emboloscleorotherapy for pelvic arteriovenous malformations Young Soo Do, MD, Young-Wook Kim, MD, Kwang Bo Park,

Percutaneous embolization of arteriovenous malformations at the plantar aspect of the foot Wayne Yakes, MD, Marc Huguenot, MD, Alexis Yakes, Alexander.

A giant femoral artery pseudoaneurysm in an infant boy

Predictors of response to percutaneous ethanol sclerotherapy (PES) in patients with venous malformations: Analysis of patient self-assessment and imaging

Giant arteriovenous fistula in Parkes Weber syndrome

Extrinsic compression of the external iliac artery following internal fixation of an acetabular fracture Erin Koelling, MD, Dipankar Mukherjee, MD Journal.

Morphologic findings and management strategy of spontaneous isolated dissection of the celiac artery Jie Sun, MD, Dong-lin Li, MD, PhD, Zi-heng Wu, MD,

A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients Philip P. Goodney,

Byung-Boong Lee, MD, PhD, FACS, Y. S. Do, MD, Wayne Yakes, MD, D. I

Incidence of soft tissue injury and neuropathy after embolo/sclerotherapy for congenital vascular malformation Kyung-Bok Lee, MD, Dong-Ik Kim, MD, Se-Keon.

Surgical bypass vs endovascular treatment for patients with supra-aortic arterial occlusive disease due to Takayasu arteritis Young-Wook Kim, MD, Dong-Ik.

Endovascular treatment combined with emboloscleorotherapy for pelvic arteriovenous malformations Young Soo Do, MD, Young-Wook Kim, MD, Kwang Bo Park,

Acute renal artery occlusion: Presentation, treatment, and outcome

Use of CT Angiography and CT Perfusion Imaging in the Selection of Hyperacute Stroke Patients to Undergo Emergent Carotid Endarterectomy Versus Intra-Cranial.

Ung Bae Jeon, MD, Chang Won Kim, MD, Sung Woon Chung, MD

Role of computed tomographic angiography in the detection and comprehensive evaluation of persistent sciatic artery Ah Young Jung, MD, Whal Lee, MD,

Risk factors for leg length discrepancy in patients with congenital vascular malformation Young-Wook Kim, MD, Sang-Hoon Lee, MD, Dong-Ik Kim, MD, Young-Soo.

Endovascular management of multiple arteriovenous fistulae following failed laser- assisted pacemaker lead extraction David J. O'Connor, MD, Jay Gross,

Outcomes of endovascular treatment for aortic pseudoaneurysm in Behcet's disease Sung Won Kim, MD, Do Yun Lee, MD, Man Deuk Kim, MD, Jong Yun Won, MD,

Inference from clinical and fluid dynamic studies about underlying cause of spontaneous isolated superior mesenteric artery dissection Yang Jin Park,

The first operation on the profunda femoris artery

Impact of contralateral carotid or vertebral artery occlusion in patients undergoing carotid endarterectomy or carotid artery stenting Shin-Seok Yang,

Without prejudice Journal of Vascular Surgery

Collateral artery from arteriovenous malformation of the rectum in a patient with peripheral artery disease Hirotomo Uchiyama, MD, Reiji Hattori, MD,

Nicos Labropoulos, PhD, Robert J

Clinical and radiologic course of symptomatic spontaneous isolated dissection of the superior mesenteric artery treated with conservative management

Successful devascularization of carotid body tumors by covered stent placement in the external carotid artery James M. Scanlon, MD, Jacob J. Lustgarten,

The surgical treatment of arterial aneurysms in Behçet disease: A report of 16 patients Yusuf Kalko, MD, Murat Basaran, MD, Unal Aydin, MD, Ulku Kafa,

Transcatheter closure of recurrent aortic pseudoaneurysm previously treated by Amplatzer occluder device Jamal Hussain, MD, Robert Strumpf, MD, Aslan.

Novel Endovascular Management of Bilateral Congenital Renal Arteriovenous Malformations: Case Report and Clinical Review Michael B. Silva, Charlie C.

The future of vascular surgery

Management strategy for spontaneous isolated dissection of the superior mesenteric artery based on morphologic classification Dong-lin Li, MD, Yang-yan.

Treatment of a pelvic arteriovenous malformation by stent graft placement combined with sclerotherapy Sun Young Choi, MD, Young Soo Do, MD, Do Yun Lee,

New routing alternative for proximal anterior tibial artery bypass in patients with Buerger disease Taeseung Lee, MD, PhD, Hwan Do Ra, MD, Yang Jin Park,

Sclerotherapy after embolization of draining vein: A safe treatment method for venous malformations Yunbo Jin, MD, Xiaoxi Lin, MD, Wei Li, MD, Xiaojie.

The influence of cephalic vein diameter and diabetes on primary maturation and patency of autogenous radiocephalic arteriovenous fistulas Yang Jin Park,

Michael E. Lidsky, MD, Jovan N. Markovic, MD, Michael J

Traumatic arteriovenous fistula 52 years after injury

Banding between dialysis puncture sites to treat severe ischemic steal syndrome in low flow autogenous arteriovenous access David Shemesh, MD, Ilya Goldin,

Efficacy of stent-supported subintimal angioplasty in the treatment of long iliac artery occlusions Young-Guk Ko, MD, Sanghoon Shin, MD, Kwang Joon Kim,

Current strategy for the treatment of symptomatic spontaneous isolated dissection of superior mesenteric artery Sang-Il Min, MD, Kyung-Chul Yoon, MD,

Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas Zhongming Zhang, MD, Min Yang, MD, Li Song, MD, Xiaoqiang Tong, MD,

Reviewer Acknowledgment

Isolated celiac artery dissection

Report on initial experience with transradial access for carotid artery stenting Laszlo Pinter, MD, Catherine Cagiannos, MD, Zoltan Ruzsa, MD, Chris Bakoyiannis,

The role of dynamic contrast-enhanced magnetic resonance imaging in the diagnosis and management of patients with vascular malformations Michael E. Lidsky,

Sclerotherapy after embolization of draining vein: A safe treatment method for venous malformations Yunbo Jin, MD, Xiaoxi Lin, MD, Wei Li, MD, Xiaojie.

Endovascular repair of a penetrating thoracic aortic ulcer by way of the carotid artery Michael J Heidenreich, MD, David G Neschis, MD, Michael J Costanza,

Endovascular repair of an acute blunt popliteal artery injury

Incidence of soft tissue injury and neuropathy after embolo/sclerotherapy for congenital vascular malformation Kyung-Bok Lee, MD, Dong-Ik Kim, MD, Se-Keon.

Regarding “Vascular abnormalities in patients with neurofibromatosis syndrome type I: Clinical spectrum, management, and results” John B. Chang, MD,

Rebecca Jeanmonod, MD, Chad Lewis, MD Journal of Vascular Surgery

Endovascular stent graft exclusion of a thoracic arteriovenous malformation in a patient with Cobb syndrome Cindy Huynh, MD, Vivian Gahtan, MD, Robert.

Staged endovascular treatment of bilateral ruptured and intact ovarian artery aneurysms in a postmenopausal woman Jeffrey S. Kirk, MD, Jonathan S. Deitch,

Reconstruction of the ligated external carotid artery for embolization of cervicofacial arteriovenous malformations Thomas S. Riles, MD, Alejandro Berenstein,

Aditya Agrawal, MS, FRCS, Richard Whitehouse, MD, FRCS, Robert W

True Radial Artery Aneurysm: Diagnosis and Treatment

A giant common carotid artery pseudoaneurysm after penetrating injury

Patrick A. Stone, MD, Ali F. AbuRahma, MD, Sarah K. Flaherty, BS

Brachial artery aneurysm associated with F. P. Weber syndrome

Presentation transcript:

Ethanol embolotherapy of foot arteriovenous malformations Dongho Hyun, MD, Young Soo Do, MD, Kwang Bo Park, MD, Dong-Ik Kim, MD, Young Wook Kim, MD, Hong Suk Park, MD, Sung Wook Shin, MD, Yun Gyu Song, MD Journal of Vascular Surgery Volume 58, Issue 6, Pages 1619-1626 (December 2013) DOI: 10.1016/j.jvs.2013.06.074 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Diagnostic and treatment planning algorithm. AVM, Arteriovenous malformation. Journal of Vascular Surgery 2013 58, 1619-1626DOI: (10.1016/j.jvs.2013.06.074) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Partial resolution via both direct-puncture sclerotherapy and intra-arterial embolotherapy. A 13-year-old boy presented with swelling and varicosity in his left foot. A, A late arterial phase image of the angiogram shows a mixed type (II + IIIa) of arteriovenous malformation (AVM) that involves 25% to 33% of his left foot area and the calcaneus. B and C, Two sessions of embolotherapy with a total of 37.9 mL of pure ethanol were performed via direct puncture of bone AVM and intra-arterial approach. D, A late arterial phase image of the angiogram after treatment demonstrates that approximately 90% of the AVM has been controlled, which means partial resolution. Infiltrative AVM remains. Transient sensory loss of the treated foot has fully recovered. Journal of Vascular Surgery 2013 58, 1619-1626DOI: (10.1016/j.jvs.2013.06.074) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Arteriovenous malformation (AVM) resistant to ethanol sclerotherapy. A 28-year-old woman presented with ulcer, pain, and swelling in her right foot. A, Type IIIa + IIIb AVM involving >66% of her right foot on a late arterial phase image of her right-foot angiogram. B, Sclerotherapy was performed via direct puncture with a total of 23 mL of pure ethanol. C, A considerable extent (<50% devascularization) of AVM remains on completion angiogram. Follow-up computed tomographic (CT) angiography showed AVM partially improved. However, symptoms and signs remained. No further treatment was recommended. Journal of Vascular Surgery 2013 58, 1619-1626DOI: (10.1016/j.jvs.2013.06.074) Copyright © 2013 Society for Vascular Surgery Terms and Conditions