Article Text

PDF

E-078 Endovascular Vein Approach and Direct Puncture Retrograde Vein Approach for Curative AVM Treatment: A New Unreported Technique
  1. W Yakes
  1. Vascular Malformation Center, Englewood, CO

Abstract

Purpose To evaluate the role of Retrograde Vein and Direct Puncture Retrograde Vein Endovascular Repair of Large Peripheral AVMs.

Materials and methods Eighty-seven patients (45 males, 42 females; age: 14–72, mean age: 27 years) presented for repair of AVMs involving head and neck, shoulder, chest wall, intra-thoracic, abdominal, renal, pelvic, buttock, and extremities. Ethanol and ethanol/coils were the embolic agents used. Retrograde transvenous catheterizations and vein direct puncture retrograde vein approaches were used in all patients.

Results Eighty-five of 87 patients are cured at long-term follow-up (f/up: 14 months to 138 months; mean: 42 months) and 2 patients’ therapy is on-going. Complications include 1 pelvic AVM post-Rx small bleed not requiring transfusion; 1 pelvic AVM coils eroded into bladder wall removed uneventfully via trans-urethra endoscopy; 2 infections treated with antibiotics; 2 patients’ coils superficially eroded and uneventfully removed; and 1 patient subcutaneous hematoma removed (7/87 patients; 8% minor complications).

Conclusions Retrograde vein and direct puncture vein access and embolization of AVMs in many anatomic locations have proven curative at long-term f/up of AVMs in multiple anatomic locations with a low complication rate. Reproducible and consistent results of this technique have been reported by Yakes (1990) et al, Jackson (1996) et al and Cho (2008), et al.

Disclosures W. Yakes: None.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.