151. Transcatheter embolization in the management of congenital arteriovenous malformations.
- Author
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Kaufman SL, Kumar AA, Roland JM, Harrington DP, Barth KH, Haller JA Jr, and White RI Jr
- Subjects
- Adolescent, Adult, Arteriovenous Malformations diagnostic imaging, Child, Preschool, Duodenum blood supply, Dura Mater blood supply, Female, Hemangioendothelioma therapy, Humans, Infant, Liver Neoplasms therapy, Lung blood supply, Male, Middle Aged, Pelvis blood supply, Radiography, Scalp blood supply, Arteriovenous Malformations therapy, Embolization, Therapeutic methods
- Abstract
Congenital arteriovenous malformations (AVMs) with multiple arterial feeders in eight patients were managed by transcatheter embolization with a combination of polyvinyl alcohol foam (Ivalon), detachable silicone balloons, and wool coils. Due to the extensive number of arterial feeders often present, multiple procedures with several days in between were frequently necessary. When possible, surgical resection after embolization is the procedure of choice. Inoperable AVMs are best managed by segmental distal embolization of all arterial feeders with a permanent occluding material. Embolization therapy as a primary form of management is considered palliative and temporary relief of symptoms is usually achieved.
- Published
- 1980
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