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

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Presentation transcript:

Endovascular treatment combined with emboloscleorotherapy for pelvic arteriovenous malformations Young Soo Do, MD, Young-Wook Kim, MD, Kwang Bo Park, MD, Dong-Ik Kim, MD, Hong Suk Park, MD, Sung Ki Cho, MD, Sung Wook Shin, MD, Yang Jin Park, MD Journal of Vascular Surgery Volume 55, Issue 2, Pages 465-471 (February 2012) DOI: 10.1016/j.jvs.2011.08.051 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Schematic drawing of access routes to a dilated draining vein during the embolosclerotherapy of the pelvic arteriovenous malformation. A, Inferior vena cava; B, transvenous catheter; C, percutaneous needle; D, feeding arterioles; E, dilated draining vein of pelvic AVM. Journal of Vascular Surgery 2012 55, 465-471DOI: (10.1016/j.jvs.2011.08.051) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Combined embolosclerotherapy in a 27-year-old male with a pelvic arteriovenous malformation (AVM). A, B, Arterial (A) and venous (B) phases of pretreatment pelvic angiogram show multiple small feeding arteries (arrowheads) and an enlarged single draining vein (arrows). C, Multiple coils (arrowheads) were placed through the transvenous catheter (arrows). D, Before injection of ethanol, test contrast medium was injected through an intra-arterial microcatheter. E, Final angiogram after injection of 35 mL of ethanol showing complete disappearance of pelvic AVM lesion. F, Follow-up CT at 1 year shows no evidence of AVM lesion. Journal of Vascular Surgery 2012 55, 465-471DOI: (10.1016/j.jvs.2011.08.051) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Combined embolosclerotherapy in a 47-year-old male with a huge asymptomatic arteriovenous malformation (AVM) lesion of the pelvis. A, B, Arterial (A) and venous (B) phases of pretreatment angiogram show multiple small feeding arteries (arrowheads) and an enlarged single draining vein (arrows). C, Multiple coils (Nester coils and stainless steel coils) were placed in the dilated draining vein through a percutaneous needle. D, Final angiogram following 7 months of ethanol injection shows complete disappearance of pelvic AVM lesion. E, Follow-up CT at 4 months shows no residual or recurrent AVM lesion. Journal of Vascular Surgery 2012 55, 465-471DOI: (10.1016/j.jvs.2011.08.051) Copyright © 2012 Society for Vascular Surgery Terms and Conditions