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A Retrograde Transvenous Embolization Technique with Balloon-Assisted Arterial Aspiration for a Peripheral Arteriovenous Malformation with a Venous Pouch

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Abstract

Management of arteriovenous malformations (AVMs) is challenging, and there is no consensus regarding either the ideal approach or the treatment timing. Percutaneous embolization is the most frequent approach currently used and is considered the first-line technique for AVMs. There is an ongoing discussion about the best technical approach to embolize AVMs. AVMs associated with a dominant outflow vein (DOV) are rare. Embolization of both the DOV and the nidus is considered more effective. Herein, we report a novel technique of transvenous embolization of a DOV under negative pressure from an arterial balloon catheter in a case of a peripheral AVM. This technique allows the embolization of the DOV and the nidus retrogradely.

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References

  1. Cho SK, Do YS, Shin SW, et al. Arteriovenous malformations of the body and extremities: analysis of therapeutic outcomes and approaches according to a modified angiographic classification. J Endovasc Ther. 2006;13:527–38.

    Article  PubMed  Google Scholar 

  2. Lee BB, Baumgartner I, Berlien HP, et al. Consensus Document of the International Union of Angiology (IUA)-2013. Current concept on the management of arterio-venous management. Int Angiol. 2013;32:9–36.

    CAS  PubMed  Google Scholar 

  3. Conway AM, Qato K, Drury J, Rosen RJ. Embolization techniques for high-flow arteriovenous malformations with a dominant outflow vein. J Vasc Surg Venous Lymphat Disord. 2015;3:178–83.

    Article  PubMed  Google Scholar 

  4. Strauss KJ, Racadio JM, Johnson N, et al. Estimates of diagnostic reference levels for pediatric peripheral and abdominal fluoroscopically guided procedures. AJR Am J Roentgenol. 2015;204:713–9.

    Article  Google Scholar 

  5. Cho SK, Do YS, Kim DI, et al. Peripheral arteriovenous malformations with a dominant outflow vein: results of ethanol embolization. Korean J Radiol. 2008;9:258–67.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Yakes WF, Luethke JM, Merland JJ, et al. Ethanol embolization of arteriovenous fistulas: a primary mode of therapy. J Vasc Interv Radiol. 1990;1:89–96.

    Article  CAS  PubMed  Google Scholar 

  7. van der Linden E, van Baalen JM, Pattynama PM. Retrograde transvenous ethanol embolization of high-flow peripheral arteriovenous malformations. Cardiovasc Intervent Radiol. 2012;35:820–5.

    Article  PubMed  Google Scholar 

  8. Vogelzang RL, Atassi R, Vouche M, Resnick S, Salem R. Ethanol embolotherapy of vascular malformations: clinical outcomes at a single center. J Vasc Interv Radiol. 2014;25:206–13.

    Article  PubMed  Google Scholar 

  9. De Beule T, Vranckx J, Verhamme P, et al. Transarterial embolization of peripheral arteriovenous malformations with ethylenevinyl alcohol copolymer—feasibility, technical outcomes, and clinical outcomes. Vasa. 2016;45:497–504.

    Article  PubMed  Google Scholar 

  10. Jackson JE, Mansfield AO, Allison DJ. Treatment of high-flow vascular malformations by venous embolization aided by flow occlusion techniques. Cardiovasc Intervent Radiol. 1996;19:323–8.

    Article  CAS  PubMed  Google Scholar 

  11. Yee DC, Yakes WF. Dominant outflow vein occlusion of high-flow malformations [abstract]. Presented at the 28th Annual Meeting of the Society of Interventional Radiology, Salt Lake City, Utah, USA. 2003.

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Authors and Affiliations

  1. Department of Radiology, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan

    Asako Kuhara, Norimitsu Tanaka, Masamichi Koganemaru, Tomoko Kugiyama & Toshi Abe

  2. Department of Plastic & Reconstructive Surgery and Maxillofacial Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan

    Kensuke Kiyokawa

Authors
  1. Asako Kuhara
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  2. Norimitsu Tanaka
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  3. Masamichi Koganemaru
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  4. Tomoko Kugiyama
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  5. Kensuke Kiyokawa
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  6. Toshi Abe
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Correspondence to Asako Kuhara.

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All authors report no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

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Written informed consent was obtained from individual participant included in this study.

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Kuhara, A., Tanaka, N., Koganemaru, M. et al. A Retrograde Transvenous Embolization Technique with Balloon-Assisted Arterial Aspiration for a Peripheral Arteriovenous Malformation with a Venous Pouch. Cardiovasc Intervent Radiol 40, 788–792 (2017). https://doi.org/10.1007/s00270-016-1548-2

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  • DOI: https://doi.org/10.1007/s00270-016-1548-2

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