Embolization of a complex pulmonary arteriovenous fistula and coarctation treatment with covered stent at the same session

Erolu-Günay E, Yalçın Y, Çetiner N, Arpaözü MB, Çevik B, Akalın F. Embolization of a complex pulmonary arteriovenous fistula and coarctation treatment with covered stent at the same session. Turk J Pediatr 2015; 57: 413-417. Pulmonary arteriovenous fistula (PAVF) are rare malformations that may cause serious complications such as paradoxical embolism, stroke, pulmonary hemorrhage and hemoptysis. Accompanying cardiac malformations such as aortic coarctation were not reported previously. Here we present a case of complex PAVF associated with aortic coarctation. The patient was treated successfully by transcatheter embolization of PAVF with amplatzer vascular plug I and II and implantation of a covered CP stent for coarctation at the same session.

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1. White RI Jr, Lynch-Nylan A, Terry P, et al. Pulmonary arteriovenous malformations: techniques and long-term outcome of embolotherapy. Radiology 1988; 169: 663- 669.

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3. Pierucci P, Murphy J, Henderson KJ, Chyun DA, White RI Jr. New definition and natural history of patients with diffuse pulmonary arteriovenous malformations: twenty-seven-year experience. Chest 2008; 133: 653- 661.

4. Ando K, Mochizuki A, Kurimoto N, et al. Coil embolization for pulmonary arteriovenous malformation as an organ-sparing therapy: outcome of long-term follow-up. Ann Thorac Cardiovasc Surg 2011; 17: 118-123.

5. Tapping CR, Ettles DF, Robinson GJ. Long-term follow-up of treatment of pulmonary arteriovenous malformations with AMPLATZER Vascular Plug and AMPLATZER Vascular Plug II devices. J Vasc Interv Radiol 2011; 22: 1740-1746.

6. Hundt W, Kalinowski M, Kiessling A, et al. Novel approach to complex pulmonary arteriovenous malformation embolization using detachable coils and Amplatzer vascular plugs. Eur J Radiol 2012; 81:e732-e738.

7. Trerotola SO & Pyeritz RE. Does use of coils in addition to amplatzer vascular plugs prevent recanalization. . AJR Am Roentgenol 2010; 195: 766-771.

8. Deverall PB, Taylor JF, Sturroc GS, Aberdeen E. Coarctation-like physiology with cerebral arteriovenous fistula. Pediatrics 1969; 44: 1024-1028.
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
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