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Interventional Therapy in Arteriovenous Congenital Malformations

  • Chapter
Hemangiomas and Vascular Malformations

Abstract

Before beginning a session of embolotherapy, all afferent arteries feeding the shunt should be clearly demonstrated. To get optimal documentation, large quantities of contrast media injection may be necessary, as selective and superselective angiographies are required. For this reason, and also because of a multidisciplinary discussion necessary to plan the treatment, embolization is best performed in a second session. Materials available for embolization can be divided into fluid, semi-fluid, particulate substances and mechanical devices. Different types of catheter devices are available, including flow-directed Swan-Ganz and Tracker catheters with coaxial combinations, useful for special situations. The strategy and tactic of the treatment should be adapted to the individual case. A step-by-step approach, combination with surgery and other treatments may reduce the risks of complications.

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References

  1. Loose DA, Wang ZG (1990) The surgical treatment of predominantly venous defects. Int Angiol 9(3):183–188

    PubMed  CAS  Google Scholar 

  2. Grantzow R, Knorr P (2005) Differen tiated therapy of hemangiomas. Przeglad Flebologiczny 13(3):85–90

    Google Scholar 

  3. Poetke M, Urban P, Philipp C, Berliner HP (2005) Hemangiomas: classification, diagnostic and laser treatment. Przeglad Flebologiczny 13(3):77–84

    Google Scholar 

  4. Brooks B (1930) The treatment of trau matic arteriovenous fistula. Sth Med J 23:100–102

    Google Scholar 

  5. Anderson JH, Gianturco G, Wallace S (1975) Mechanical devices for arterial oc clusion. Am J Roentgenol 124(3):428–430

    Google Scholar 

  6. Berenstein A, Kricheff II (1979) Catheter and material selection for transarterial embolization: technical considerations. I Catheters. Radiology 3(132):619–630

    Google Scholar 

  7. Berenstein A, Kricheff II (1979) Catheter and material selection for transarterial embolization: technical considerations. II Materials. Radiology 132(3):631–639

    PubMed  CAS  Google Scholar 

  8. Cromwell LD, Kerber CW (1979) Modi fication of cyanoacrylate for therapeutic embolization: preliminary experience. Am J Roentgenol 132(5):799–803

    CAS  Google Scholar 

  9. Grace DM, Pitt DF, Gold RE (1976) Vascular embolization and occlusion by angiographic technique as an aid or alter native to operation. Surg Gynecol Obstet 142:469–484

    Google Scholar 

  10. Kauffmann G, Wimmer B, Bischoff W et al (1977) Experimentelle Grundlagen für therapeutische Gefaßverschlüsse mit Angiographiekathetern. Radiologie 17:489–49

    CAS  Google Scholar 

  11. Natali J, Merland JJ (1976) Superselective arteriography and therapeutic embolization for vascular malformations (angiodysplasias). J Cardiovasc Surg 17(6):465–471

    CAS  Google Scholar 

  12. Stanley RJ, Cubillo E (1975) Nonsurgical treatment of arteriovenous malforma tions of the trunk and limbs by transcatheter embolization. Radiology 115(3):609–612

    PubMed  CAS  Google Scholar 

  13. Weber J (1990) Invasive radiological dia gnostic of congenital vascular malforma tions (CVM). Int Angiol 9(3):168–174

    PubMed  CAS  Google Scholar 

  14. Weber J (1997) Invasive Diagnostik angeborener Gefäßfehler. In: Loose DA, Weber J (eds): Angeborene Gefäßmißbildungen. Nordlanddruck, Lüneburg, pp 127–1

    Google Scholar 

  15. Weber J (1999) Angeborene Gefaßfehler in Diagnostik und Therapie. In: Marshall M, Breu FX (eds) Handbuch der Angiologie. Ecomed, Landsberg, Vol 2, pp 45–60

    Google Scholar 

  16. Weber J (2005) Invasive diagnostic of peripheral congenital vascular malforma tions. Przeglad Flebologiczny 13(3):111–121

    Google Scholar 

  17. Wojtowycz M (1995) Handbook of interventional radiology and angiography. Mosby Year Book, St. Louis, Baltimore, Boston, pp 123–124

    Google Scholar 

  18. Vaghi M (2005) Functional diagnostic of peripheral congenital vascular malforma tions. Przeglad Flebologiczny 13(3):105–109

    Google Scholar 

  19. Greenfield AJ (1981) Transcatheter vessel occlusion: methods and materials. In: Athanasoulis CA, Pfister RC, Greene RE, Roberson GH (eds) Interventional radiology. WB Saunders, Philadelphia, pp 40–53

    Google Scholar 

  20. Weber J (1990) Technique and results of therapeutic catheter embolization of congenital vascular defects. Int Angiol 9(3):214–223

    PubMed  CAS  Google Scholar 

  21. Allison DJ, Kennedy A (1989) Embo lization technique in arterio-venous malformations. In: Belov S, Loose DA, Weber J (eds) Vascular malformations. Periodica Angiologica, Einhorn-Presse Verlag, Reinbek, Vol 16, pp 261–269

    Google Scholar 

  22. Loose DA, Weber J (1991) Indications and tactics for combined treatment of congenital vascular defects. Progress in angiology. Minerva Medica, Torino, pp 373–378

    Google Scholar 

  23. Triponis V, Vaisnyte B (2005) Diagnostic and prognostic value of birthmarks, symp toms and signs in patients with CVMs of extremities. Przeglad Flebologiczny 13(3):99–104

    Google Scholar 

  24. van Dongen RJ (1993) Therapie der angeborenen arteriovenosen Angiodysplasien unter besonderer Berücksichtigung der operativen Embolisation. Angiology 5:169–175

    Google Scholar 

  25. Weber J (1980) A complication with the Gianturco coil and its non-surgical ma nagement. Cardiovasc Intervent Radiol 3:156–158

    Article  PubMed  CAS  Google Scholar 

  26. Weber J (1982) Experimental renal embo lization using contrast-labeled Ethibloc by computed tomography. In: Oliva L, Veiga Pires JH (eds) Intervention radiology. Excerpta Medica, Amsterdam, pp 23–30

    Google Scholar 

  27. Weber J (1989) Embolizing materials and catheter techniques for angiotherapeutic management of the AVM. In: Belov S, Loose DA, Weber J (eds) Vascular malformations. Periodica Angiologic. Einhorn-Presse Verlag, Reinbek, Vol 16, pp 252–260

    Google Scholar 

  28. Novak D, Weber J, Wieners H, Zabel G (1984) New liquid and semi-liquid embolizing substances for tumour embolization. Ann Radiol 24:428–431

    Google Scholar 

  29. Yakes WF, Haas, DK, Parker SH et al (1994) Symptomatic vascular malforma tions: ethanol embolotherapy. Radiology 170:1059–1071

    Google Scholar 

  30. Yakes WF (1994) Extremity venous mal formations. Diagnosis and management. Semin Intervent Radiol 11:332–336

    Article  Google Scholar 

  31. Swan JH, Ganz W, Forrester J et al (1977) Catheterization of the heart in men with the use of flow-directed ballo on-tipped catheter. N Engl J Med 283:447–454

    Article  Google Scholar 

  32. Weber J (2002) Radiologia interventistica. In: Mattassi R, Belov S, Loose DA (eds) Malformazioni vascolari ed emangiomi. Testo atlante di diagnostica e terapia. Springer-Verlag Italia, pp 50–59

    Google Scholar 

  33. Weber J, Ritter H (1989) Strategies for the radiological angiotherapy of hyperdynamic av-malformations. In: Belov S, Loose DA, Weber J (eds) Vascular malformations. Periodica Angiologica. Einhorn-Presse Verlag, Reinbek, Vol 16, pp 294–298

    Google Scholar 

  34. Rankin RN, McKenzie FN, Ahmad D (1983) Embolization of arteriovenous fistulas and aneurysms with detachable balloons. Cand J Surg 26(4):317–322

    CAS  Google Scholar 

  35. Schilke PM (1989) Special methods of anaesthesia for vascular surgery and interventional radiology. In: Belov S, Loose DA, Weber J (eds) Vascular malformations. Periodica Angiologica. Einhorn-Presse Verlag, Reinbek, Vol 16, pp 299–302

    Google Scholar 

  36. Weber J (1989) The post-infarction and pain syndrome following catheter emboli zation and its treatment. In: Belov S, Loose DA, Weber J (eds) Vascular malformations. Periodica Angiologica. Einhorn-Presse Verlag, Reinbek, Vol 16, pp 294–298

    Google Scholar 

  37. Hunter DW, Amplatz K (1989) Sclerotherapy of peripheral AVMs and hemangiomas through a retrograde transvenous approach. In: Belov S, Loose DA, Weber J (eds) Vascular malformations. Periodica Angiologica. Einhorn-Presse Verlag, Reinbek, Vol 16, p 279

    Google Scholar 

  38. Weber J (1997) Embolisation von arterio-venosen Malformationen. In: Loose DA, Weber J (eds) Angeborene Gefaßmißbildungen. Nordlanddruck, Lüneburg, pp 245–27

    Google Scholar 

  39. Belov S (1990) Hemodynamic pathogenesis of vascular-bone syndromes in congenital vascular defects. Int Angiol 9:155–161

    PubMed  CAS  Google Scholar 

  40. Novak D (1990) Complications of arterial embolization. In: Dondelinger RF, Rossi P, Kurdziel JC, Wallace S (eds) Interventio nal radiology. Thieme, New York, pp 314–324

    Google Scholar 

  41. Riche MC, Reizine D, Melni JP, Merland JJ (1984) Les complications et les pieges de l’embolisation des membres. Ann Radiol 27(4):287–291

    PubMed  CAS  Google Scholar 

  42. Weber J (1993) Vaso-occlusive angiothe rapy in congenital vascular malforma tions. Semin Vasc Surg 4(6):279–295

    Google Scholar 

  43. Belov S, Loose DA (1990) Surgical treatment of congenital vascular defects. Int Angiol 9:175–182

    PubMed  CAS  Google Scholar 

  44. Malan E (1965) Surgical problems in the treatment of congenital arteriovenous fistulae. J Cardiovasc Surg 6[suppl]:251–255

    Google Scholar 

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Author information

Authors and Affiliations

  1. Hamburg, Germany

    Jürgen H. Weber (Professor of Interventional Radiology and Phlebology)

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  1. Jürgen H. Weber
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Editors and Affiliations

  1. Department of Vascular Surgery, Center for Vascular Malformations “Stefan Belov”, “G. Salvini” Hospital, Garbagnate Milanese (Milan), Italy

    Raul Mattassi  & Massimo Vaghi  & 

  2. Center for Circulatory Disturbances and Vascular Defects, Department for Angiology and Vascular Surgery, Facharztklinik Hamburg, Hamburg, Germany

    Dirk A. Loose

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Weber, J.H. (2009). Interventional Therapy in Arteriovenous Congenital Malformations. In: Mattassi, R., Loose, D.A., Vaghi, M. (eds) Hemangiomas and Vascular Malformations. Springer, Milano. https://doi.org/10.1007/978-88-470-0569-3_20

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  • DOI: https://doi.org/10.1007/978-88-470-0569-3_20

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0568-6

  • Online ISBN: 978-88-470-0569-3

  • eBook Packages: MedicineMedicine (R0)

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