Ethanol embolotherapy of hand 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,

M. Kim, H. Kwon, S. -K. Hong, Y. Han, H. Park, J. Y. Choi, T. -W

Ethanol embolotherapy of foot arteriovenous malformations

A case of external iliac arteriovenous fistula and high-output cardiac failure after endovenous laser treatment of great saphenous vein Scott J. Ziporin,

A patient with multiple paradoxical emboli

Naiem Nassiri, MD, Nolan C. Cirillo-Penn, BA, Jones Thomas, BA

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

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

Peter F. Lawrence, MD, Olivia I

Christopher D. Owens, MD, MSc Journal of Vascular Surgery

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

Peritherapeutic quantitative flow analysis of arteriovenous malformation on digital subtraction angiography Tzung-Chi Huang, PhD, Tung-Hsin Wu, PhD,

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

Radial artery as conduit for distal renal artery reconstruction

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,

Menno H. Raber, MD, Robbert Meerwaldt, MD, PhD, Rob J. van Det, MD

Thrombolysis for deep venous thrombosis

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

Subclavian venous aneurysm: Case report and review of the literature

Naiem Nassiri, MD, Nolan C. Cirillo-Penn, BA, Jones Thomas, BA

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.

Volume 39, Pages (January 2018)

Mesenteric and portal vein thrombosis in a young patient with protein S deficiency treated with urokinase via the superior mesenteric artery Deron J.

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

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

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

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

Fibrodysplastic implications for transvenous embolization of a high-flow pelvic arteriovenous malformation in Osler-Weber-Rendu syndrome Naiem Nassiri,

Nicos Labropoulos, PhD, Robert J

Aneurysmal degeneration of the donor artery after vascular access

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

Infected aneurysm of the thoracic aorta

Deming Wang, MD, Lixin Su, PhD, Yifeng Han, MD, Xindong Fan, MD

Outpatient treatment of arterial inflow stenoses of dysfunctional hemodialysis access fistulas by retrograde venous access puncture and catheterization

Nonsurgical treatment of scalp arteriovenous malformation using a combination of ultrasound-guided thrombin injection and transarterial coil embolization

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

Improved characterization of popliteal aneurysms using gadofosveset-enhanced equilibrium phase magnetic resonance angiography Mauricio S. Galizia, MD,

Transarterial treatment of congenital renal arteriovenous fistulas

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

Thomas J. Ward, MD, Michael L. Marin, MD, Robert A. Lookstein, MD

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

Streptokinase in the treatment of subclavian vein thrombosis

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

Masson's tumor in the ulnar artery

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,

Roel H. D. Vaes, MD, Jan H. Tordoir, MD, PhD, Marc R

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,

Unusual venous thrombosis associated with protein C deficiency

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

Provoked compliance of the supernormal popliteal vein

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

Boonprasit Kritpracha, MD, Anthony J. Comerota, MD,

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.

Scott S. Berman, MD, FACS, Andrew T. Gentile, MD

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

Surgical repair of left internal jugular phlebectasia

P. Joshua O'Brien, MD, Shalini Ramasunder, MD, Mitchell W. Cox, MD

Brachial artery aneurysm associated with F. P. Weber syndrome

Presentation transcript:

Ethanol embolotherapy of hand arteriovenous malformations Hong Suk Park, MD, Young Soo Do, MD, Kwang Bo Park, MD, Dong-Ik Kim, MD, Young Wook Kim, MD, Myung Joo Kim, MD, Byung Seop Shin, In Wook Choo Journal of Vascular Surgery Volume 53, Issue 3, Pages 725-731 (March 2011) DOI: 10.1016/j.jvs.2010.09.028 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Patient 1. A 31-year-old man with swelling of the 3rd finger. A, Pretreatment angiography shows dense opacification of arteriovenous malformation (AVM) niduses and draining veins. B, The intra-arterial approach failed, because the feeding arteries were too small and too many to catheterize selectively. We changed to direct puncture and ethanol infusion. C, Complete obliteration of AVM was achieved after injection of 7 mL of ethanol. The patient has remained asymptomatic for the past 5 years. Journal of Vascular Surgery 2011 53, 725-731DOI: (10.1016/j.jvs.2010.09.028) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Patient 21. A 51-year-old man with pulsating mass and joint contracture in the 3rd, 4th, and 5th fingers and metacarpal area. A, Angiography demonstrates dilated arterial and venous dilatation with dense opacification. B, After four sessions of ethanol embolization, arteriovenous malformation (AVM) of the 3rd finger shows devascularization with recovery of joint contracture. However, other parts rarely responded and thrombosis developed in radial and ulnar veins, resulting in necrosis and subsequent infection. Journal of Vascular Surgery 2011 53, 725-731DOI: (10.1016/j.jvs.2010.09.028) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 Patient 24. A 33-year-old woman with a pulsating mass on the left palm. A, Whole body blood pool scan shows increased uptake of arteriovenous malformation (AVM; arrowhead). B, Angiography demonstrates arteriovenous shunting and tortuously dilated vein (arrowheads).C, After two sessions of transarterial and direct puncture ethanol embolotherapy, the AVM and the dilated vein disappeared completely. D, Whole body blood pool scan, obtained 4 years after the second embolotherapy, was normalized. However, she complained of mild discomfort when grabbing objects, and was classified as improved. Journal of Vascular Surgery 2011 53, 725-731DOI: (10.1016/j.jvs.2010.09.028) Copyright © 2011 Society for Vascular Surgery Terms and Conditions