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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Pelvic arteriovenous malformation : a case report].
Kotaro Suzuki1, Yuji Kusuda, Yuji Yamada
1The Department of Urology, Hyogo Pref Hospital, Japan.
Hinyokika Kiyo. Acta Urologica Japonica
|August 16, 2013
Summary
A 70-year-old man experienced intermittent hematuria. 3D CT identified an internal iliac artery arteriovenous malformation (AVM), successfully treated with transcatheter arterial embolization (TAE).
Area of Science:
- Urology
- Vascular Surgery
- Interventional Radiology
Background:
- Macroscopic hematuria can present diagnostic challenges.
- Pelvic arteriovenous malformations (AVMs) are rare vascular anomalies.
Observation:
- A 70-year-old male presented with intermittent macroscopic hematuria.
- Initial investigations did not reveal the source of bleeding.
- 3D computed tomography (CT) identified an arteriovenous malformation (AVM) originating from the internal iliac artery.
Findings:
- The arteriovenous malformation (AVM) involved multiple feeding vessels, predominantly from the right internal iliac artery.
- Transcatheter arterial embolization (TAE) using lipiodol and N-butyl-2-cyanoacrylate was performed twice.
- The treatment effectively controlled the hematuria.
Implications:
- Transcatheter arterial embolization (TAE) is an effective treatment for internal iliac artery arteriovenous malformations (AVMs).
- Careful follow-up is essential to monitor for potential recurrence of the AVM.
- 3D CT imaging is crucial for diagnosing complex pelvic vascular malformations.
