Please use this identifier to cite or link to this item:
Title: Endovascular balloon-assisted liquid embolisation of soft tissue vascular malformations: technical feasibility and safety.
Austin Authors: Lamanna, Anthony ;Maingard, Julian;Florescu, Grace;Kok, Hong Kuan;Ranatunga, Dinesh G ;Barras, Christen;Lee, Michael J;Brooks, Duncan Mark ;Jhamb, Ashu;Chandra, Ronil V;Asadi, Hamed 
Affiliation: Department of Radiology, Beaumont Hospital and Royal College of Surgeons in Ireland, Dublin, Ireland
Interventional Radiology Service, Northern Health Radiology, Melbourne, Australia
South Australian Health and Medical Research Institute, Adelaide, Australia
Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Australia
Interventional Neuroradiology Unit, Monash Imaging, Monash Health, Melbourne, Australia
School of Medicine, Faculty of Health, Deakin University, Waurn Ponds, Australia
Interventional Neuroradiology Service, Department of Radiology, St Vincent's Hospital, Melbourne, Australia
Issue Date: 8-Jun-2021
Date: 2021-06-08
Publication information: CVIR Endovascular 2021; 4(1): 49
Abstract: Arteriovenous malformations (AVMs) are abnormal communications between arteries and veins without an intervening capillary system. The best endovascular treatment option for these is unclear and may involve multiple staged procedures using a variety of embolic materials. We report our initial experience using a modified version of a previously published neurointerventional technique to treat soft tissue AVMs with single-stage curative intent. Soft tissue AVMs treated endovascularly using either sole arterial or combined arterial and venous balloon-assisted techniques with liquid embolic agents were retrospectively identified over a 3.5 year period (January 2017 to June 2020)) at two centres. Clinical, pre-operative radiological, procedural technical and post treatment details were recorded. Seven patients were treated for symptomatic soft tissue arteriovenous malformations. These AVMs were located in the peripheral limbs (five), tongue (one) and uterus (one). Curative treatment was achieved in 6/7 patients with one patient requiring a second treatment approximately 1 year later. A variety of liquid embolisation agents (LEAs) including sclerosants and polymers were used. Clinical success rate was 100% following treatment. One patient experienced expected temporary post-operative tongue swelling requiring tracheostomy occurred following embolisation of the lingual AVM. A minor complication in a second patient was due to an access site haematoma developed following treatment of the hand AVM requiring surgical intervention. No long-term sequelae or additional complications were observed. Endovascular arterial and venous balloon assisted LEA embolization of soft tissue AVMs with curative intent is feasible. This technique may provide an alternative treatment option for achieving durable occlusion for complex soft tissue AVMs.
DOI: 10.1186/s42155-021-00236-4
ORCID: 0000-0003-0705-2252
Journal: CVIR Endovascular
PubMed URL: 34101056
Type: Journal Article
Subjects: Arteriovenous malformation
Liquid embolisation
Soft tissue
Appears in Collections:Journal articles

Show full item record

Page view(s)

checked on Dec 7, 2023

Google ScholarTM


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.