دورية أكاديمية
High-flow arteriovenous malformation in the finger with transvenous ethanolamine oleate sclerotherapy using an arterial tourniquet and microballoon occlusion: A case report
العنوان: | High-flow arteriovenous malformation in the finger with transvenous ethanolamine oleate sclerotherapy using an arterial tourniquet and microballoon occlusion: A case report |
---|---|
المؤلفون: | Hiromitsu Tannai, MD, PhD, Sota Oguro, MD, PhD, Munetomo Nagao, MD, PhD, Hideki Ota, MD, PhD, Kei Takase, MD, PhD |
المصدر: | Radiology Case Reports, Vol 18, Iss 5, Pp 1973-1977 (2023) |
بيانات النشر: | Elsevier, 2023. |
سنة النشر: | 2023 |
المجموعة: | LCC:Medical physics. Medical radiology. Nuclear medicine |
مصطلحات موضوعية: | Arteriovenous malformation, Sclerotherapy, Endovascular, Ethanolamine oleate, Medical physics. Medical radiology. Nuclear medicine, R895-920 |
الوصف: | Endovascular therapy is an important method of treating high-flow arteriovenous malformations (AVMs). The nidus of AVMs can be treated by transarterial or percutaneous approaches with the use of ethanol as a strong embolic agent; however, treatment outcomes are not always satisfactory and complications including skin necrosis often occur, particularly following the treatment of superficial lesions. Herein, we describe successful transvenous sclerotherapy of high-flow AVMs in the finger of a 47-year-old female patient that were causing erythema and spontaneous pain using ethanolamine oleate (EO) as a safe sclerosant. Dynamic contrast-enhanced computed tomography and angiography revealed a high-flow type Ⅲb AVM according to Yakes classification. Using the transvenous approach, 5% EO with idoxanol was injected into the nidus of the AVM 3 times over 2 sessions. An arterial tourniquet was used to achieve stasis of blood flow at the nidus and microballoon occlusion of the outflow vein was used to ensure the sclerosant effectively reached the nidus. Near-total occlusion of the nidus was achieved leading to improved symptoms. Mild edema lasting 2 weeks occurred as a minor reaction after each session. Finger amputation may have been avoided by using this treatment. Transvenous EO sclerotherapy using an arterial tourniquet and balloon occlusion may have utility in treating AVMs in the extremities. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1930-0433 |
Relation: | http://www.sciencedirect.com/science/article/pii/S1930043323001565; https://doaj.org/toc/1930-0433 |
DOI: | 10.1016/j.radcr.2023.02.048 |
URL الوصول: | https://doaj.org/article/a441421e8d6b4bf096808c6dc7eb0118 |
رقم الأكسشن: | edsdoj.441421e8d6b4bf096808c6dc7eb0118 |
قاعدة البيانات: | Directory of Open Access Journals |
كن أول من يترك تعليقا!