Occlusion of an Intraosseous Arteriovenous Malformation With Percutaneous Injection of Polymethylmethacrylate

Primary intraosseous arteriovenous malformations are rare. Many minimally invasive procedures can be considered preoperative steps and/or definitive treatment. The case reported regards a young woman with a voluminous arteriovenous extratroncular infiltrating malformation of the humerus. She underwe...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2011-02, Vol.34 (Suppl 2), p.150-153
Main Authors: Ierardi, Anna Maria, Mangini, Monica, Vaghi, Massimo, Cazzulani, Alberto, Mattassi, Raul, Carrafiello, Gianpaolo
Format: Article
Language:English
Subjects:
Adult
Angiography
ANIMALS
Arteriovenous Malformations - diagnosis
Arteriovenous Malformations - therapy
Cardiology
Case Report
Embolization, Therapeutic - methods
ESTERS
Female
FEMALES
Humans
Humerus - blood supply
Imaging
Injections
Magnetic Resonance Angiography
MALFORMATIONS
MAMMALS
MAN
MEDICINE
Medicine & Public Health
Nuclear Medicine
ORGANIC COMPOUNDS
ORGANIC POLYMERS
Osteolysis - diagnosis
Osteolysis - therapy
PATHOLOGICAL CHANGES
PMMA
POLYACRYLATES
POLYMERS
Polymethyl Methacrylate - administration & dosage
POLYVINYLS
PRIMATES
Radiology
RADIOLOGY AND NUCLEAR MEDICINE
THERAPY
Ultrasound
VERTEBRATES
WOMEN
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Summary:Primary intraosseous arteriovenous malformations are rare. Many minimally invasive procedures can be considered preoperative steps and/or definitive treatment. The case reported regards a young woman with a voluminous arteriovenous extratroncular infiltrating malformation of the humerus. She underwent several treatments, but none of them was completely occlusive. The last treatment consisted of direct percutaneous puncture of the intraosseous alteration and injection of polymethylmethacrylate (PMMA), which is normally used in percutaneous vertebroplasty. We obtained complete occlusion of the humerus lytic lesion. To the best of our knowledge, this represents the first case of intraosseous AVM treated by percutaneous injection of PMMA.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-010-0001-1