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An endovascular option is the final treatment for a giant arteriovenous malformation.

作者信息

Benedetto Filippo, Pipitò Narayana, Barillà David, Spinelli Domenico, Stilo Francesco, Spinelli Francesco

机构信息

Department of Vascular Surgery, Policlinico Universitario "G. Martino" of Messina, Messina, Italy.

Department of Vascular Surgery, Policlinico Universitario "G. Martino" of Messina, Messina, Italy.

出版信息

Ann Vasc Surg. 2014 Nov;28(8):1932.e5-8. doi: 10.1016/j.avsg.2014.06.069. Epub 2014 Jul 11.

DOI:10.1016/j.avsg.2014.06.069
PMID:25017779
Abstract

We report the case of a 58-year-old man presented with bleeding ulcer of the left arm caused by a high-flow type-C arteriovenous malformation (AVM), feed by branches from both the subclavian arteries. He had been previously treated with AVM sclerotherapy, embolization, humeral artery endografting, and open surgery. We urgently performed coil embolization of the left vertebral artery, and we covered the huge subclavian artery by a thoracic endograft. Then, we embolized the right tyrocervical trunk. The result was an immediate interruption of bleeding. At 12 months, the patient had no neurologic complications, and the upper limb continued to decompress.

摘要

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