Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jun 28:83:e326-e332.
doi: 10.5114/pjr.2018.77695. eCollection 2018.

Embolisation of pulmonary arteriovenous malformations - case series

Vinko Vidjak  1 , Ivana Štula  2 , Filip Matijevic  1 , Lovro Kavur  1 , Helga Sertić Milić  1 , Darko Blašković  1
Affiliations

Embolisation of pulmonary arteriovenous malformations - case series

Vinko Vidjak et al. Pol J Radiol. .

Abstract

Purpose: Pulmonary arteriovenous malformations (PAVM) are the direct communications between the pulmonary arteries and veins. These malformations can cause serious complications, and most of these patients should be treated. Herein we present our experience in the treatment of 18 cases of PAVM, treated with endovascular embolisation.

Material and methods: Eighteen patients with PAVMs underwent endovascular embolisation during a five-year period. Eight were male and 10 were female, with ages ranging from 16 to 65 years. Standard steel coils and vascular plug were used for embolisation.

Results: Embolisation was successful in 17 of 18 patients. Coiling was used in 10 patients, vascular plug in five, and both materials in two patients. All symptomatic patients with successful embolisation lost all their symptoms after treatment. Control angiography after embolisation showed a closure of AV shunt without migration of embolic material in all patients. Post-embolisation syndrome developed in four patients and late onset of pleural pain in three patients. There was no connection between pleural reaction and type of PAVM and embolic material.

Conclusions: Endovascular PAVM treatment is a minimally invasive, highly successful method with a low rate of only transitory complications.

Keywords: embolization; endovascular; pulmonary arteriovenous malformations.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Colling of the left lower lobe simple pulmonary arteriovenous malformations
Figure 2
Figure 2
Embolisation of the right lower lobe simple pulmonary arteriovenous malformations with vascular plug
Figure 3
Figure 3
A) Angiography before embolisation. B) Digital subtraction angiography and maximum intensity projection reconstruction of contrast enhanced thorax multidetector computed tomography after pulmonary arteriovenous malformations embolisation
See this image and copyright information in PMC

References

    1. Meek ME, Meek JC, Beheshti MV. Management of pulmonary arteriovenous malformations. Semin Intervent Radiol. 2011;28:24–31. - PMC - PubMed
    1. Goodenberger DM. Pulmonary arteriovenous malformation. In: Fishman AP, Elias JA, Fishman JA, et al., editors. Fishmans Pulmonary Diseases and Disorders. 4th ed. China: McGraw Hill; 2008. pp. 1467–1483.
    1. Biswas D, Dey A, Chakraborty M, Biswas S. Pulmonary arteriovenous malformation: An uncommon disease with common presentation. Lung India. 2010;27:247–249. - PMC - PubMed
    1. Andersen PE, Kjeldsen AD. Interventional treatment of pulmonary arteriovenous malformations. World J Radiol. 2010;2:339–344. - PMC - PubMed
    1. Liu FY, Wang MQ, Fan QS, et al. Endovascular embolisation of pulmonary arteriovenous malformations. Chin Med J. 2010;123:23–28. - PubMed

LinkOut - more resources