Document Detail

Combined approach to a peripheral congenital arteriovenous malformation: surgery and embolization.
MedLine Citation:
PMID:  16550315     Owner:  NLM     Status:  MEDLINE    
A 28-year-old woman with a complex peripheral congenital arteriovenous malformation in the left shoulder and left upper arm was treated by a combination of surgery and embolization. In the consecutive four operations, the major feeding arteries of the arteriovenous malformation were ligated, but as her complaints increased, transcatheter embolization was planned for releaving the symptoms in the first aspect. A total of eight embolization sessions were performed with Onyx during the 3-year period. The arteriovenous communications were occluded by embolization, with approximately more than an 80% decrease in the lesion size angiographically. After these interventions, the patient's symptoms improved clinically and dyspnea was lessened. Peripheral congenital arteriovenous malformation is a rare and therapeutically challenging condition in which a combination of surgery and embolization would be necessary to obtain a good result.
Mehmet Erdem Toker; Ercan Eren; Hakan Akbayrak; Firuzan Numan; Mustafa Güler; Mehmet Balkanay; Cevat Yakut
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Heart and vessels     Volume:  21     ISSN:  0910-8327     ISO Abbreviation:  Heart Vessels     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-21     Completed Date:  2007-05-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511258     Medline TA:  Heart Vessels     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  127-30     Citation Subset:  IM    
Department of Cardiovascular Surgery, Koşuyolu Heart and Research Hospital, Istanbul, Turkey.
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MeSH Terms
Arm / blood supply
Arteriovenous Malformations / diagnosis,  surgery,  therapy*
Combined Modality Therapy
Embolization, Therapeutic*
Shoulder / blood supply

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