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Treatment of high-flow vascular malformations by venous embolization aided by flow occlusion techniques

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Abstract

Purpose

Transvenous embolization techniques may be helpful as alternatives to the arterial route when treating high-flow vascular malformations. We present our experience using these techniques in four patients.

Methods

In one patient the venous portion of the arteriovenous malformation (AVM) was punctured directly; in the other three patients it was catheterized via a retrograde venous approach. Flow occlusion techniques were utilized in all patients during embolization, which was performed with absolute alcohol orN-butyl-2-cyanoacrylate.

Results

Excellent clinical and angiographic results were obtained, with obliteration of arteriovenous shunting in all patients. There were no complications.

Conclusion

The embolization of certain AVMs using a venous approach is a safe and effective treatment.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Royal Postgraduate Medical School, Hammersmith Hospital, Du Cane Road, W12 OHS, London, UK

    James E. Jackson MRCP, FRCR & David J. Allison

  2. Department of Surgery, St. Mary's Hospital, Praed Street, W2, London, UK

    Averil O. Mansfield

Authors
  1. James E. Jackson MRCP, FRCR
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  2. Averil O. Mansfield
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  3. David J. Allison
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Jackson, J.E., Mansfield, A.O. & Allison, D.J. Treatment of high-flow vascular malformations by venous embolization aided by flow occlusion techniques. Cardiovasc Intervent Radiol 19, 323–328 (1996). https://doi.org/10.1007/BF02570183

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  • DOI: https://doi.org/10.1007/BF02570183

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