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Cardiovasc Intervent Radiol · May 2017
Case ReportsA Retrograde Transvenous Embolization Technique with Balloon-Assisted Arterial Aspiration for a Peripheral Arteriovenous Malformation with a Venous Pouch.
- Asako Kuhara, Norimitsu Tanaka, Masamichi Koganemaru, Tomoko Kugiyama, Kensuke Kiyokawa, and Toshi Abe.
- Department of Radiology, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. kuhara_asako@med.kurume-u.ac.jp.
- Cardiovasc Intervent Radiol. 2017 May 1; 40 (5): 788-792.
AbstractManagement of arteriovenous malformations (AVMs) is challenging, and there is no consensus regarding either the ideal approach or the treatment timing. Percutaneous embolization is the most frequent approach currently used and is considered the first-line technique for AVMs. There is an ongoing discussion about the best technical approach to embolize AVMs. AVMs associated with a dominant outflow vein (DOV) are rare. Embolization of both the DOV and the nidus is considered more effective. Herein, we report a novel technique of transvenous embolization of a DOV under negative pressure from an arterial balloon catheter in a case of a peripheral AVM. This technique allows the embolization of the DOV and the nidus retrogradely.
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