Advertisement

Endovascular Treatment of AVM: Trunk and Extremity

  • Young Soo Do
  • Kwang Bo Park
Chapter

Abstract

The common clinical manifestations of the trunk and extremity AVM are pulsating mass, pain, ulceration, bleeding, tissue necrosis, enlargement of draining vein, and venous hypertension and/or cardiac failure. Patients with hand or foot AVM have more ischemic pain, ulceration, and/or necrosis. But around 40% of patients with pelvis AVM with huge dilated vascular lesions have no symptoms due to deep location of the lesion and wide space of the pelvis. In the extremity, bone involvement of AVM is not rare about 18%.

References

  1. 1.
    Park KB, Do YS, Kim DI, Kim YW, Shin BS, Park HS, et al. Predictive factors for response of peripheral arteriovenous malformations to embolization therapy: analysis of clinical data and imaging findings. J Vasc Interv Radiol. 2012;23:1478–86.CrossRefPubMedGoogle Scholar
  2. 2.
    Do YS, Kim YW, Park KB, Kim DI, Park HS, Cho SK, et al. Endovascular treatment combined with embolosclerotherapy for pelvic arteriovenous malformations. J Vasc Surg. 2012;55:465–71.CrossRefPubMedGoogle Scholar
  3. 3.
    Park HS, Do YS, Park KB, Kim DI, Kim YW, Kim MJ, et al. Ethanol embolotherapy of hand arteriovenous malformations. J Vasc Surg. 2011;53:725–31.CrossRefPubMedGoogle Scholar
  4. 4.
    Lee BB, Baumgartner I, Berlien HP, Bianchini G, Burrows P, Do YS, et al. Consensus document of the international union of angiology (IUA)-2013. Current concept on the management of arterio-venous malformations. Int Angiol. 2013;32(1):9–36.PubMedGoogle Scholar
  5. 5.
    Do YS, Park KB, Park HS, Cho SK, Shin SW, Moon JW, et al. Extremity arteriovenous malformations involving the bone: therapeutic outcomes of ethanol embolotherapy. J Vasc Interv Radiol. 2010;21:807–16.CrossRefPubMedGoogle Scholar
  6. 6.
    Flye MW, Jordan BP, Schwartz MZ. Management of congenital arteriovenous malformations. Surgery. 1983;94:740–7.PubMedGoogle Scholar
  7. 7.
    Tan KT, Simons ME, Rajan DK, Terbrugge K. Peripheral high-flow arteriovenous vascular malformations: a single-center experience. J Vasc Interv Radiol. 2004;15:1071–80.CrossRefPubMedGoogle Scholar
  8. 8.
    Natarajan SK, Born D, Ghodke B, Britz GW, Sekhar LN. Histopathological changes in brain arteriovenous malformations after embolization using onyx or N-butyl cyanoacrylate. Laboratory investigation. J Neurosurg. 2009;111:105–13.CrossRefPubMedGoogle Scholar
  9. 9.
    Sofocleous CT, Rosen RJ, Raskin K, Fioole B, Hofstee DJ. Congenital vascular malformations in the hand and forearm. J Endovasc Ther. 2001;8:484–94.CrossRefPubMedGoogle Scholar
  10. 10.
    White RI, Pollak J, Persing J, Henderson KJ, Thomson JG, Burdge CM. Long-term outcome of embolotherapy and surgery for high-flow extremity arteriovenous malformations. J Vasc Interv Radiol. 2000;11:1285–95.CrossRefPubMedGoogle Scholar
  11. 11.
    Castaneda F, Dodwin SC, Swischuk JL, Wong GC, Bonilla SM, Wang MJ, et al. Treatment of pelvic arteriovenous malformations with ethylene vinyl alcohol copolymer. J Vasc Interv Radiol. 2002;13:513–6.CrossRefPubMedGoogle Scholar
  12. 12.
    Numan F, Ömeroglu A, Kara B, Cantasdemir M, Adaletli I, Kantarci F. Embolization of peripheral vascular malformations with ethylene vinyl alcohol copolymer (Onyx). J Vasc Interv Radiol. 2004;15:939–46.CrossRefPubMedGoogle Scholar
  13. 13.
    Wohlgemuth WA, Müller-Wille R, Teusch VI, Dudeck O, Cahill AM, Alomari AI, et al. The retrograde transvenous push-through method: a novel treatment of peripheral arteriovenous malformations with dominant venous outflow. Cardiovasc Intervent Radiol. 2015;38:623–31.CrossRefPubMedGoogle Scholar
  14. 14.
    Cho SK, Do YS, Shin SW, Kim DI, Kim YW, Park KB, 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.CrossRefPubMedGoogle Scholar
  15. 15.
    Shin BS, Do YS, Cho HS, Kim DI, Hahm TS, Kim CS, et al. Effects of repeat bolus ethanol injections on cardiopulmonary hemodynamic changes during embolotherapy of arteriovenous malformations of the extremities. J Vasc Interv Radiol. 2010;21:81–9.CrossRefPubMedGoogle Scholar
  16. 16.
    Ko JS, Kim JA, Do YS, Kwon MA, Choi SJ, Gwak MS, et al. Prediction of the effect of injected ethanol on pulmonary arterial pressure during sclerotherapy of arteriovenous malformations: relationship with dose of ethanol. J Vasc Interv Radiol. 2009;20:39–45.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Department of RadiologySamsung Medical Center, Sungkyunkwan University School of MedicineSeoulSouth Korea

Personalised recommendations