Arteriovenous Malformations of the Body and Extremities: Analysis of Therapeutic Outcomes and Approaches According to a Modified Angiographic Classification

Cho, Sung Ki; Soo, Young; Shin, Sung Wook; Kim, Dongik; Kim, Young‐Wook; Park, Kwang Bo; Kim, Eun Jin; Ahn, Hyun Joo; Choo, Sung Wook; Choo, In Wook

doi:10.1583/05-1769.1

Cited by 245 publications

(222 citation statements)

References 20 publications

Supporting

Mentioning

188

Contrasting

Unclassified

Order By: Relevance

“…More recently, Houdart 10 and later Cho et al 11 highlighted that some of the most complex high-flow lesions, such as AVMs, were more common (.60%). Because of the difficulties faced in treating these high-flow peripheral lesions, a modified angiographic classification was proposed, in an attempt to aid treatment outcome.…”

Section: Classificationmentioning

confidence: 99%

“…For very small or superficial lesions, for example, in the hand, fingers or feet, a higher frequency range (up to 17 MHz) provides better resolution ( Figure 4). 11,28,29 The modality is, however, limited by operator experience and assessment of deep lesions, especially adjacent to the bone, can be challenging with underestimation of the complexity and size of lesions.…”

Section: 28mentioning

confidence: 99%

“…The anatomic or more importantly the haemodynamic status of the individual vascular malformation largely determines the method of injection, which can be via direct puncture, transarterial or venous routes. It causes vascular occlusion by endothelial damage, denaturation of blood proteins and thrombus formation 5,11,[51][52][53] ( Figure 15). …”

Section: 50mentioning

confidence: 99%

“…It has been primarily utilized in embolization of intracranial high-flow malformations owing to the ease of control during administration and lower rates of distant complications, particularly in the case of AVMs. 9,11 It has, however, been used for the treatment of peripheral high low-flow malformations, via an intravascular approach 59 ( Figure 16-18). …”

Section: 57mentioning

confidence: 99%

See 3 more Smart Citations

Peripheral limb vascular malformations: an update of appropriate imaging and treatment options of a challenging condition

Madani¹,

Farrant²,

Chhaya³

et al. 2015

BJR

View full text Add to dashboard Cite

Peripheral vascular malformations encompass a wide spectrum of lesions that can present as an incidental finding or produce potentially life-or limb-threatening complications. They can have intra-articular and intraosseous extensions that will result in more diverse symptomology and present greater therapeutic challenges. Developments in classification, imaging and interventional techniques have helped to improve outcome. The onus is now placed on appropriate detailed preliminary imaging, diagnosis and classification to direct management and exclude other more common mimics. Radiologists are thus playing an increasingly important role in the multidisciplinary teams charged with the care of these patients. By fully understanding the imaging characteristics and image-guided procedures available, radiologists will be armed with the tools to meet these responsibilities. This review highlights the recent advances made in imaging and the options available in interventional therapy.Peripheral vascular malformations (PVMs) encompass a wide spectrum of lesions that can present as an incidental finding or produce potentially life-or limb-threatening complications. PVMs are relatively common within the extremities and usually confined to the subcutaneous tissues and muscles. They can have, however, intra-articular and intraosseous extensions that will result in more diverse symptomology and present greater therapeutic challenges. Any misdiagnosis can lead to inappropriate management and treatment.

show abstract

Section: Classificationmentioning

confidence: 99%

Section: 28mentioning

confidence: 99%

Section: 50mentioning

confidence: 99%

Section: 57mentioning

confidence: 99%

See 2 more Smart Citations

Peripheral limb vascular malformations: an update of appropriate imaging and treatment options of a challenging condition

Madani¹,

Farrant²,

Chhaya³

et al. 2015

BJR

View full text Add to dashboard Cite

show abstract

“…In this type, if the fistula unit of the nidus was observed as a blush or fine striation on angiography, it was categorized as type IIIa for a non-dilated fistula; when the fistula unit of the nidus was observed as a complex vascular network, it was classified as type IIIb for a dilated fistula. 13) Although most reports have established diagnosis through abdominal arterial angiography, and selecting celiac axis which can elegantly demonstrate arteriovenous shunting, yet Ultrasound together with colored Doppler, Magnetic resonance and CT angiography also play important role as base line evaluation and for post management follow up.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Management of Splenic Arteriovenous Fistula with Giant Venous Aneurysmal Dilatation

Ibrahim

Bassurrah

2012

Annals of Vascular Diseases

View full text Add to dashboard Cite

Although splenic artery aneurysm is the commonest visceral and third most common intra abdominal aneurysm after aorta and iliac artery, aneurysm of splenic artery along with aneurysm of splenic vein and arteriovenous fistula is a rare entity. Most of them are <3 cm in diameter. Giant true splenic artery aneurysms are rare and very few lesions >10 cm have been reported. We report a case of 11 cm × 8 cm giant splenic vein aneurysm with splenic arteriovenous fistula as the 1st case of giant splenic venous aneurysm with arteriovenous fistula managed by endovascular treatment.

show abstract

A large adrenocortical adenoma surrounded with a renal arteriovenous malformation

Nishino¹,

Narimoto²,

Tominaga³

et al. 2021

IJU Case Reports

View full text Add to dashboard Cite

Introduction Large adrenal adenomas are clinically rare. We report a case of a large adrenal adenoma with a renal arteriovenous malformation, mimicking a malignant adrenal tumor in preoperative imaging. Case presentation A 66‐year‐old woman presented to a local hospital with abdominal pain. A right adrenal tumor was detected, 66 mm in diameter and surrounded by thick and tortuous vessels. Based on the imaging findings, pheochromocytoma was suspected. However, clinical symptoms and endocrine abnormalities were absent, and radionuclide accumulation in scintigraphy was negative. Laparoscopic right adrenalectomy was performed. Intraoperatively, a notable growth of vessels forming a nidus surrounding the tumor was observed. Pathologically, this was diagnosed as an adrenocortical adenoma in conjunction with a renal arteriovenous malformation. Conclusion We report a case of a large adrenal tumor surrounded with an arteriovenous malformation. To the best of our knowledge, this is the first reported case of this combination.

show abstract

Arteriovenous Malformations of the Body and Extremities: Analysis of Therapeutic Outcomes and Approaches According to a Modified Angiographic Classification

Abstract: The described angiographic classification provides considerable information concerning the characteristics of AVMs in the body and extremities, the optimal therapeutic approach, and the likely therapeutic outcome.

Cited by 245 publications

References 20 publications

Peripheral limb vascular malformations: an update of appropriate imaging and treatment options of a challenging condition

Peripheral limb vascular malformations: an update of appropriate imaging and treatment options of a challenging condition

Endovascular Management of Splenic Arteriovenous Fistula with Giant Venous Aneurysmal Dilatation

A large adrenocortical adenoma surrounded with a renal arteriovenous malformation

Contact Info

Product

Resources

About