Treatment of High-Flow Vascular Malformations by Venous Embolization Aided by Flow Occlusion Techniques

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...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 1996-09, Vol.19 (5)
Main Authors: Jackson, James E., Mansfield, Averil O., Allison, David J.
Format: Article
Language:English
Subjects:
ALCOHOLS
BLOOD FLOW
EMBOLI
MALFORMATIONS
PATIENTS
RADIOLOGY AND NUCLEAR MEDICINE
VASCULAR DISEASES
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Summary: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 or N-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.
ISSN:0174-1551
1432-086X
DOI:10.1007/S002709900068