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Visualization of Quantitative Flow Reduction with 4D-flow Magnetic Resonance Imaging in a Patient with Pelvic Arteriovenous Malformation After Transcatheter Arterial Embolization

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Abstract

A 54-year-old man was admitted to our hospital with dyspnea and heart failure. Contrast-enhanced computed tomography showed a giant pelvic arteriovenous malformation (AVM) fed by the left internal iliac artery (IIA), right IIA, and inferior mesenteric artery. (IMA). The AVM was treated with selective embolization via the left IIA. Time-resolved three-dimensional phase-contrast magnetic resonance imaging (4D-flow MRI) visualized a gradual flow reduction in the left IIA, whereas the flow in the IMA and right IIA increased relatively. After four sessions, the patient experienced symptom relief and the blood level of N-terminal prohormone brain natriuretic peptide decreased. To the best of our knowledge, we present the first reported use of 4D-flow MRI to quantitatively assess flow reduction in the case of pelvic AVM after embolization.

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This study was not supported by any funding.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Kita14, Nishi5, Kita-ku, Sapporo, Hokkaido, 060-8648, Japan

    Satonori Tsuneta, Daisuke Abo, Yuki Yoshino, Ryo Morita & Takeshi Soyama

  2. Department of Radiology, Saitama Medical Center, Jichi Medical University, 1-847, Amanumacho, Omiya-ku, Saitama-shi, Saitama, 330-8503, Japan

    Noriko Oyama-Manabe

  3. Department of Radiodiagnosis, Hokkaido Ohno Memorial Hospital, Miyanosawa 2-jo 1-chome 16-1, Nishi-ku, Sapporo, Hokkaido, 063-0052, Japan

    Chihoko Miyazaki

  4. Department of Diagnostic Imaging, Hokkaido University Graduate School of Medicine, Kita14, Nishi7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan

    Kohsuke Kudo

Authors
  1. Satonori Tsuneta
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  2. Daisuke Abo
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  3. Noriko Oyama-Manabe
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  4. Chihoko Miyazaki
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  5. Yuki Yoshino
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  6. Ryo Morita
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  7. Takeshi Soyama
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  8. Kohsuke Kudo
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Correspondence to Noriko Oyama-Manabe.

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Tsuneta, S., Abo, D., Oyama-Manabe, N. et al. Visualization of Quantitative Flow Reduction with 4D-flow Magnetic Resonance Imaging in a Patient with Pelvic Arteriovenous Malformation After Transcatheter Arterial Embolization. Cardiovasc Intervent Radiol 43, 1557–1560 (2020). https://doi.org/10.1007/s00270-020-02545-y

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  • DOI: https://doi.org/10.1007/s00270-020-02545-y

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