Document Detail


Embolization therapy in the management of congenital arteriovenous malformations.
MedLine Citation:
PMID:  7089264     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eight patients with congenital arteriovenous malformations (AVMs) underwent staged transcatheter arterial embolization. Six patients had AVMs involving an extremity, one had multiple pulmonary AVMs, and one had an AVM of the pancreas. Embolization was performed using Ivalon (polyvinyl alcohol) particles and Gianturco coils. Clinical course, fever pattern, and appropriate enzymatic laboratory studies were monitored. Leukocytosis occurred in all but one patient following embolization. A febrile course with the temperature reaching 39.6 degrees C without evidence of infection was seen in several patients for 3 to 5 days postembolization. Marked elevation in the creatine phosphokinase level and positive fibrin split products were noted in several instances. Because embolizations were performed in stages, serial arteriography was available. Embolization resulted in a reduction in symptoms in all eight patients and allowed a more limited surgical procedure than would otherwise have been possible in two patients. Complications occurred in three patients and are described. It is concluded that transcatheter arterial embolization is a useful therapeutic alternative in the management of congenital AVMs.
Authors:
A S Gomes; W P Mali; W L Oppenheim
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Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article    
Journal Detail:
Title:  Radiology     Volume:  144     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1982 Jul 
Date Detail:
Created Date:  1982-08-07     Completed Date:  1982-08-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  41-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Angiography
Arteriovenous Malformations / radiography,  therapy*
Brachial Artery
Catheterization
Creatine Kinase / blood
Embolization, Therapeutic* / adverse effects
Female
Femoral Artery
Fever / etiology
Humans
Leukocytosis / etiology
Male
Middle Aged
Pulmonary Artery
Chemical
Reg. No./Substance:
EC 2.7.3.2/Creatine Kinase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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