Journal of Vascular Surgery
Volume 51, Issue 4 , Pages 1006-1009, April 2010

Treatment of a pelvic arteriovenous malformation by stent graft placement combined with sclerotherapy

  • Sun Young Choi, MD

      Affiliations

    • Department of Radiology and Research Institute of Radiological Science, Severance Hospital, University of Yonsei, College of Medicine, Seoul, Republic of Korea
    • ,
  • Young Soo Do, MD

      Affiliations

    • Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
    • ,
  • Do Yun Lee, MD

      Affiliations

    • Department of Radiology and Research Institute of Radiological Science, Severance Hospital, University of Yonsei, College of Medicine, Seoul, Republic of Korea
    • ,
  • Kwang-Hun Lee, MD

      Affiliations

    • Department of Radiology and Research Institute of Radiological Science, Severance Hospital, University of Yonsei, College of Medicine, Seoul, Republic of Korea
    • ,
  • Jong Yun Won, MD

      Affiliations

    • Department of Radiology, Gangnam Severance Hospital, University of Yonsei, College of Medicine, Seoul, Republic of Korea
    • Corresponding Author InformationReprint requests: Jong Yun Won, MD, Gangnam Severance Hospital, University of Yonsei, College of Medicine, 612 Eonjuro, Gangnam-gu, Seoul, Republic of Korea

Received 17 September 2009; accepted 2 November 2009.

We present a 64-year-old woman with left leg swelling for 1 year. Computed tomography imaging showed a large pelvic arteriovenous malformation that consisted of multiple fine shunts between the left internal iliac artery and the long segment of the left external iliac vein. A stent graft was inserted within the left external iliac vein to occlude the arteriovenous shunts with consecutive transarterial sclerotherapy using absolute ethanol. This resulted in complete resolution of the pelvic arteriovenous malformation. To our knowledge, this is the first reported case of stent graft insertion within a large vein for treating arteriovenous malformation.

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 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)02309-X

doi:10.1016/j.jvs.2009.11.036

Journal of Vascular Surgery
Volume 51, Issue 4 , Pages 1006-1009, April 2010

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