Abstract
Purpose: To evaluate the indication and advantages of venous sac embolization of pulmonary arteriovenous malformations (PAVMs) using interlocking detachable coils (IDCs).
Methods: We performed percutaneous embolization in 12 PAVMs in four patients using IDCs, initially placed in the venous sac or at the feeding artery to prevent systemic migration of additional coils. We placed the IDCs in the venous sac in PAVMs with the following vascular architecture: the draining vein was larger than the feeding arteries and both vessels were interposed with the venous sac or there were short feeding arteries.
Results: Complete occlusion was achieved in all 12 PAVMs without significant complications. We deployed IDCs in the venous sac in eight PAVMs and in the feeding artery in four.
Conclusion: Venous sac embolization may be beneficial in PAVMs with large out-flow vessels or short feeding arteries. IDCs are suitable for this procedure.
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References
Suchin CR, Whitman GJ, Chew FS (1996) Pulmonary arteriovenous malformation. AJR 167:648
White RI Jr, Lynch-Nyhan A, Terry P, Buescher PC, Farmlett EJ, Charnas L, Shuman K, Kim W, Kinnison M, Mitchell SE (1988) Pulmonary arteriovenous malformations: Techniques and long-term outcome of embolotherapy. Radiology 169:663–669
Haitjema TJ, Overtoom TT, Westermann CJ, Lammers JW (1995) Embolization of pulmonary arteriovenous malformations: Results and follow-up in 32 patients. Thorax 50:719–723
Dutton JAE, Jackson JE, Hughes JMB, Whyte MKB, Peters AM, Ussov W, Allison DJ (1995) Pulmonary arteriovenous malformations: Results of treatment with coil embolization in 53 patients. AJR 165:1119–1125
Coley SC, Jackson JE (1996) Venous sac embolization of pulmonary arteriovenous malformations in two patients. AJR 167:452–454
Reidy JF, Qureshi SA (1996) Interlocking detachable platinum coils, a controlled embolization device: Early clinical experience. Cardiovasc Intervent Radiol 19:85–90
Cekirge HS, Saatci I, Firat MM, Balkanci F, Besim A (1996) Interlocking detachable coil occlusion in the endovascular treatment of intracranial aneurysms: Preliminary results. Am J Neuroradiol 17:1651–1657
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Takahashi, K., Tanimura, K., Honda, M. et al. Venous sac embolization of pulmonary arteriovenous malformation: Preliminary experience using interlocking detachable coils. Cardiovasc Intervent Radiol 22, 210–213 (1999). https://doi.org/10.1007/s002709900368
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DOI: https://doi.org/10.1007/s002709900368