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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Occlusion of a large pulmonary arteriovenous malformation in a paediatric patient using multiple vascular plugs
1Children's Cardiac Centre, Princess Margaret Hospital for Children, Roberts Road, Subiaco, Perth, Western Australia 6008, Australia. deane.yim@gmail.com
Insights
Successful transcatheter occlusion of large pulmonary arteriovenous malformations (PAVMs) in children can be achieved using multiple Amplatzer vascular plugs, offering a minimally invasive treatment option for this congenital condition.
Area of Science:
- Cardiovascular Medicine
- Pediatric Interventional Radiology
Background:
- Pulmonary arteriovenous malformations (PAVMs) represent abnormal vascular connections between pulmonary arteries and veins.
- These congenital anomalies can lead to significant morbidity and mortality if untreated, particularly in pediatric patients.
Observation:
- Large PAVMs can present complex anatomy with multiple feeder vessels not always evident on initial imaging.
- Selective angiography is crucial for fully delineating the vascular supply before intervention.
Findings:
- This report details the successful occlusion of a large PAVM in a pediatric patient.
- The intervention utilized multiple Amplatzer vascular plugs, a transcatheter technique, to close the abnormal communication.
Implications:
- Transcatheter embolization with Amplatzer vascular plugs is an effective strategy for managing complex pediatric PAVMs.
- This approach offers a minimally invasive alternative to surgical intervention, potentially reducing patient risk and recovery time.
Abstract:
Pulmonary arteriovenous malformations (PAVMs) are caused by an abnormal vascular communication between a pulmonary artery and vein. They are usually congenital in nature and are associated with considerable morbidity and mortality if left untreated. Transcatheter techniques are the favoured option for PAVM occlusion in children, and large lesions can have multiple feeder vessels that may not be appreciated until selective angiography is performed. We describe the successful occlusion of a large PAVM in a paediatric patient using multiple Amplatzer vascular plugs.
