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

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Fibrodysplastic implications for transvenous embolization of a high-flow pelvic arteriovenous malformation in Osler-Weber-Rendu syndrome Naiem Nassiri, MD, RPVI, Jones Thomas, BA, Saum Rahimi, MD Journal of Vascular Surgery Cases Volume 1, Issue 1, Pages 16-19 (March 2015) DOI: 10.1016/j.jvsc.2014.12.004 Copyright © 2015 The Authors Terms and Conditions

Fig 1 Characteristic (A) volar digital and (B) tongue telangiectasias as well as (C) a high-flow arteriovenous malformation (AVM) within the pelvic circulation strongly suggestive of Osler-Weber-Rendu (OWR) syndrome. Journal of Vascular Surgery Cases 2015 1, 16-19DOI: (10.1016/j.jvsc.2014.12.004) Copyright © 2015 The Authors Terms and Conditions

Fig 2 Diffuse fibrodysplastic lesions affecting the (A) external iliac, (B) renal, and (C) proximal left gonadal arteries. C, Along with the extreme tortuosity of the distal left gonadal artery, precluded superselective microcatheterization of the (D) nidus of the arteriovenous malformation (AVM) from transarterial route. Journal of Vascular Surgery Cases 2015 1, 16-19DOI: (10.1016/j.jvsc.2014.12.004) Copyright © 2015 The Authors Terms and Conditions

Fig 3 A, Transvenous catheterization of draining gonadal vein with sheath insertion. B, Superselective microcatheter access into arteriovenous malformation (AVM) nidus with deposition of detachable giant framing coils and Onyx (Covidien, Plymouth, Minn) cast. C and D, Completion angiography and venography demonstrates devascularization of the AVM nidus with no further arteriovenous shunting and preservation of gonadal artery flow and venous drainage. Journal of Vascular Surgery Cases 2015 1, 16-19DOI: (10.1016/j.jvsc.2014.12.004) Copyright © 2015 The Authors Terms and Conditions