Abstract
To determine the efficacy of Endovascular Repair of Shoulder arteriovenous malformations (AVMs). Fifteen patients (10 females, 5 males) presented for repair of shoulder AVMs. Three patients had extension of AVM to the supraclavicular and axillary areas. Two patients had multiple AVMs. Eight patients had previous failed therapies (embo: PVA/coils/gelfoam; surgeries: excisions/bypass). All patients underwent ethanol endovascular AVM repair; seven patients had additional coil embolizations (110 treatments). Patient age range 18-76 years; mean age 47. Thirteen patients are cured at long-term follow-up (37 months mean follow-up). One patient with bilateral shoulder AVM and multiple other AVMs therapy is on-going. Another patient’s treatment is on-going. Complications include two patients with minor superficial blisters, one patient with transient radial nerve injury with complete recovery and one patient with clot embolus to hand, treated with urokinase w/distal 3rd phalanx removed. A recent report of shoulder AVM repair in JVIR documented failure of nBCA approach. These authors stated that shoulder AVMs were not possible to treat. This report documents cure of these difficult lesions is possible with ethanol endovascular and direct puncture approaches. Long-term cures are documented in this patient series despite previous publications stating treatments of these lesions are not possible. One patient with a massive left shoulder AVM demonstrates persistent cure at 16 year follow-up.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.