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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Contemporary Management of Pulmonary Arteriovenous Malformations

Nicholas Rauh1, John Gurley2, Sibu Saha3

  • 1University of Kentucky College of Medicine, Lexington, Kentucky.

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc
|November 17, 2017
PubMed

Insights

Pulmonary arteriovenous malformations (PAVMs) are rare vascular connections. Transcatheter embolization offers an effective treatment for PAVMs, preventing serious complications like embolization and infection.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiology

Background:

  • Pulmonary arteriovenous malformations (PAVMs) are abnormal direct connections between pulmonary arteries and veins.
  • While uncommon, PAVMs can lead to severe complications such as embolization and infection if left untreated.
  • Historical treatment approaches have evolved significantly since the initial description of PAVMs in 1897.

Purpose of the Study:

  • To present the experience of treating nine PAVM cases at the University of Kentucky.
  • To highlight the efficacy of vascular plug transcatheter embolization in managing PAVMs.
  • To illustrate a typical treatment course for PAVMs through an exemplary case study.

Main Methods:

  • Review of nine patient cases diagnosed with PAVMs.
  • Application of vascular plug transcatheter embolization as the primary therapeutic intervention.
  • Detailed case analysis, including an exemplary patient journey.

Main Results:

  • Successful management of PAVMs in nine patients utilizing transcatheter embolization.
  • Demonstration of the effectiveness and safety of the embolization technique.
  • Illustrative case highlighting successful treatment outcomes and patient management.

Conclusions:

  • Vascular plug transcatheter embolization is an effective and modern therapeutic option for PAVMs.
  • Advanced diagnostic and interventional techniques have improved PAVM management.
  • The presented cases underscore the benefits of timely and appropriate intervention for PAVMs.
Keywords:
chest CTcoil embolizationhereditary hemorrhagic telangiectasiapulmonary angiographypulmonary arteriovenous malformationstranscatheter embolization therapyvascular plug embolization

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