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

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Presentation transcript:

Treatment of a pelvic arteriovenous malformation by stent graft placement combined with sclerotherapy Sun Young Choi, MD, Young Soo Do, MD, Do Yun Lee, MD, Kwang-Hun Lee, MD, Jong Yun Won, MD Journal of Vascular Surgery Volume 51, Issue 4, Pages 1006-1009 (April 2010) DOI: 10.1016/j.jvs.2009.11.036 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Contrast-enhanced computed tomography scan showed (A) a compressed left external iliac vein (arrow), (B) multiple fine striations at the left pelvic cavity with abnormal arterial enhancement of the left external iliac vein (arrow) on arterial dominant phase, and (C) a compressed left common iliac vein (arrow) by the left common iliac artery. D, Aortography showed a vascular blush between the left internal iliac artery and left external iliac vein connected by fine multiple shunts. E, On late arterial phase, focal stenosis was noted at the proximal segment of left external iliac vein (arrow), with multiple pelvic collateral vessels. F, An oblique aortography showed a focal filling defect at the left common iliac vein (arrow), suggesting extrinsic compression by the left common iliac artery. Journal of Vascular Surgery 2010 51, 1006-1009DOI: (10.1016/j.jvs.2009.11.036) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 A, B, A stent graft and stent were deployed within the left external iliac vein extended to the common iliac vein. C, Collapsed stent graft was noted after 1 week, and (D) an additional stent was deployed within the external iliac vein, overlapping the preexisting stent graft. E, An intra-arterial ethanol injection was performed using a microcatheter. A normal gluteal branch (arrow) was embolized using microcoils before the ethanol injection to avoid unwanted sclerotherapy. Journal of Vascular Surgery 2010 51, 1006-1009DOI: (10.1016/j.jvs.2009.11.036) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 A follow-up computed tomography scan at 6 month showed no opacification of the pelvic arteriovenous malformation and a patent stent graft. Journal of Vascular Surgery 2010 51, 1006-1009DOI: (10.1016/j.jvs.2009.11.036) Copyright © 2010 Society for Vascular Surgery Terms and Conditions