J E Jackson1, A O Mansfield, D J Allison. 1. Department of Diagnostic Radiology, Royal Postgraduate Medical School, Hammersmith Hospital, Du Cane Road, London W12 OHS, UK.
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 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.
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.
Authors: W F Yakes; D K Haas; S H Parker; M D Gibson; K D Hopper; J S Mulligan; P H Pevsner; J C Johns; T E Carter Journal: Radiology Date: 1989-03 Impact factor: 11.105
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