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Reperfusion of Complex Pulmonary Arteriovenous Malformations After Embolization: Report of Three Cases

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Abstract

The purpose of this report is to discuss the different mechanisms of reperfusion of pulmonary arteriovenous malformations (PAVMs) after embolization. Transcatheter embolotherapy is currently the first-line treatment of PAVMs to prevent neurologic complications or pulmonary hemorrhage. Initial good results can be expected but we report three cases of reperfusion of complex large PAVMs after coil embolization. After adequate embolization, reperfusion of PAVMs may occur by several mechanisms including recanalization of embolized arteries, recruitment of normal arterial branches, growth or enlargment and development of a systemic arterial supply.

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Authors and Affiliations

  1. Department of Radiology, Hopital Ambroise Paré, Boulogne, France

    Pascal Lacombe, Christine Lagrange, Mostafa El Hajjam & Thierry Chinet

  2. Department of Respiratory Medicine, Hopital Ambroise Paré, Boulogne, France

    Jean-Pierre Pelage

Authors
  1. Pascal Lacombe
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  2. Christine Lagrange
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  3. Mostafa El Hajjam
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  4. Thierry Chinet
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  5. Jean-Pierre Pelage
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Correspondence to Pascal Lacombe.

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Lacombe, P., Lagrange, C., Hajjam, M.E. et al. Reperfusion of Complex Pulmonary Arteriovenous Malformations After Embolization: Report of Three Cases. Cardiovasc Intervent Radiol 28, 30–35 (2005). https://doi.org/10.1007/s00270-003-0263-y

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