TY - JOUR
T1 - Congenital Arteriovenous Malformations
T2 - The Role of Transcatheter Arterial Embolization
AU - Gomes, Antoinette S.
AU - Busuttil, Ronald W.
AU - Baker, J. Dennis
AU - Oppenheim, William
AU - Machleder, Herbert I.
AU - Moore, Wesley S.
PY - 1983/7
Y1 - 1983/7
N2 - We treated 11 patients with congenital arteriovenous malformations (AVMs) with staged transcatheter arterial embolization of their lesions. In nine patients, the AVM involved an extremity. One patient had multiple pulmonary AVMs, another an AVM of the pancreas. Embolization was performed using polyvinyl alcohol sponge (lvalon) particles and GianturcoWallace coils. Nine patients had a systemic response to embolization, characterized by pain, fever, leukocytosis, and elevated enzyme levels. Complications (three major, two minor) developed in five patients. A total of 28 staged embolizations were performed, with follow-up to 36 months. We found transcatheter embolization a useful palliative therapy in treating congenital AVMs. It should be considered as a therapeutic alternative for patients with unresectable AVMs, those for whom amputation would be required, and those who are otherwise poor surgical candidates.
AB - We treated 11 patients with congenital arteriovenous malformations (AVMs) with staged transcatheter arterial embolization of their lesions. In nine patients, the AVM involved an extremity. One patient had multiple pulmonary AVMs, another an AVM of the pancreas. Embolization was performed using polyvinyl alcohol sponge (lvalon) particles and GianturcoWallace coils. Nine patients had a systemic response to embolization, characterized by pain, fever, leukocytosis, and elevated enzyme levels. Complications (three major, two minor) developed in five patients. A total of 28 staged embolizations were performed, with follow-up to 36 months. We found transcatheter embolization a useful palliative therapy in treating congenital AVMs. It should be considered as a therapeutic alternative for patients with unresectable AVMs, those for whom amputation would be required, and those who are otherwise poor surgical candidates.
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U2 - 10.1001/archsurg.1983.01390070029007
DO - 10.1001/archsurg.1983.01390070029007
M3 - Article
C2 - 6860130
AN - SCOPUS:0020548864
SN - 0004-0010
VL - 118
SP - 817
EP - 825
JO - Archives of Surgery
JF - Archives of Surgery
IS - 7
ER -