Closure of a large pulmonary arteriovenous malformation using multiple Gianturco-Grifka vascular occlusion devices

Ebeid, Makram R.; Braden, David S.; Gaymes, Charles H.; Joransen, James A.

doi:10.1002/(sici)1522-726x(200004)49:4<426::aid-ccd17>3.0.co;2-c

Cited by 22 publications

(9 citation statements)

References 6 publications

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“…1,9 Although in the past open surgical correction was the gold-standard of treatment of this disease, nowadays interventional treatment is preferred, including balloon occlusion, coiling embolization, and other occlusion devices such as the Gianturco coil or, more recently, the Gianturco-Grifka Vascular Occlusion Device (Cook Inc.). [10][11][12] Despite all new therapeutic techniques, the treatment procedure depends on the origin of the AV fistula. Large congenital fistulas may require surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Case report. Multiple Mediastinal Arteriovenous Fistulas in a Patient with Myocardial Ischemia Symptoms and Tachy-Brady Arrhythmias

Kovács

Condrea²,

Rodean³

et al. 2017

Journal of Cardiovascular Emergencies

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Arteriovenous fistulas are abnormal vascular communications between the arterial and venous system and may lead to the development of arteriovenous shunts. These malformations are extremely rare, and their diagnosis can be difficult due to the lack of symptoms or the absence of hemodynamic consequences. In many cases, arteriovenous fistulas are discovered by chance. In this brief report, we present the case of a 31-year-old male with symptoms suggestive of angina pectoris, tachycardia-bradycardia syndrome and multiple episodes of syncope. Multi-slice computed tomography revealed the presence of multiple mediastinal fistulas connecting the aorta, superior vena cava, pulmonary veins and azygos system.

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Section: Discussionmentioning

confidence: 99%

Case report. Multiple Mediastinal Arteriovenous Fistulas in a Patient with Myocardial Ischemia Symptoms and Tachy-Brady Arrhythmias

Kovács

Condrea²,

Rodean³

et al. 2017

Journal of Cardiovascular Emergencies

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“…However, few reports in the literature have described transcatheter embolization of an aorto-azygous fistula. Gianturco coils and Gianturco-Grifka vascular occlusion devices have been used to occlude arteriovenous malformations (5,7).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous embolization of carotico-azygous fistula with amplatzer vascular plug-i

Öztürk

Ödemiş²,

Güzeltaş³

et al. 2011

Diagn Interv Radiol

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431C arotico-azygous fistula is an extremely rare form of arteriovenous fistula, resulting from an abnormal communication between the carotid artery and azygous vein (1-4). As a result of continuous murmur, which is a typical physical finding of these vascular malformations, a caroticoazygous fistula could be confused with patent ductus arteriosus. Transcatheter coil embolization of these fistulas has been reported previously (5).Here, we describe a five-year-old boy with caroticoazygous fistula, who also had patent ductus arteriosus, the main cause of misdiagnosis, and successful transcatheter embolization with the Amplatzer ® Vascular Plug 1 (AVP 1). Case reportA five-year-old boy was referred to our clinic with cardiac murmur. He had no history of any complaint. During physical examination, a continuous murmur was heard in the left chest area. Electrocardiogram and telecardiography were normal. Color and continuous wave Doppler echocardiography showed patent ductus arteriosus with dilated left atrium and left ventricle. Left atrium-to-aortic root diameter ratio was 1.7. He underwent cardiac catheterization and descending aorta angiography, focusing only on possible patent ductus arteriosus arising from the aorta. Patent ductus arteriosus was detected by angiography. The narrowest diameter of patent ductus arteriosus was measured as 2.3 mm. A detachable coil, 5 mm in diameter and having five loops (William Cook Europe, Bjaeverskov, Denmark), was used for occlusion of patent ductus arteriosus. No residual shunt was observed in control angiography (Fig. 1). During examination on the next day, a continuous murmur was still heard in the same area, but no residual shunt was detected by echocardiography. A chest X-ray confirmed that the coil had not migrated. We then highly suspected an arteriovenous fistula but it was not revealed by echocardiography. Therefore, other reasons for the continuous murmur were investigated. Initially, cranial computed tomography with contrast and abdominal Doppler ultrasound were performed to reveal a fistula in those areas, but the results were normal. We then decided to perform further cardiac catheterization. During the second cardiac catheterization procedure, aortic angiography detected a fistula tract between the carotid artery and azygous vein (Fig. 2).Aortic and subsequent selective angiography in anteroposterior and lateral views showed multiple branches of the vertebral arteries linking the fistula tract. It had a tortuous course, and the narrowest part measured 3.4 mm (Fig. 2). The calculated pulmonary to systemic blood flow ratio was 1.7.Lateral selective descending angiography was performed to delineate the fistula tract (Fig. 2a). The fistula tract had several connections to ABSTRACT We present the case of a five-year-old boy with a caroticoazygous fistula, which is an extremely rare congenital vascular malformation. The patient also had patent ductus arteriosus, a common cause of continuous murmur. The murmur continued despite successful coil embolization of the ductus. ...

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“…[4] APCs are percutaneously occluded using a variety of devices including expandable balloons, liquefied gelatin, umbrella-type devices, coils, Amplatzer vascular plugs, and Gianturco-Grifka vascular occlusion devices. [5678] We present here an unusual case with a large residual APC causing refractory low-output state in the early postoperative period, which was successfully closed with an Amplatzer duct occluder (ADO) device delivered through the transvenous route.…”

Section: Introductionmentioning

confidence: 99%

Transvenous closure of large aortopulmonary collateral

et al. 2014

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Aortopulmonary collaterals (APCs) are occluded either preoperatively or at the time of cardiac surgery in patients with pulmonary atresia and ventricular septal defect (PAVSD). If left untreated, APCs are an important cause of deterioration in the early postoperative period. We present here an unusual case with a large residual APC causing refractory low-output state in the early postoperative period. Usual arterial approach failed due to extensive angulation with ostial narrowing. The large residual APC was successfully closed with an Amplatzer duct occluder (ADO) device delivered through the transvenous route.

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Closure of a large pulmonary arteriovenous malformation using multiple Gianturco-Grifka vascular occlusion devices

Cited by 22 publications

References 6 publications

Case report. Multiple Mediastinal Arteriovenous Fistulas in a Patient with Myocardial Ischemia Symptoms and Tachy-Brady Arrhythmias

Case report. Multiple Mediastinal Arteriovenous Fistulas in a Patient with Myocardial Ischemia Symptoms and Tachy-Brady Arrhythmias

Percutaneous embolization of carotico-azygous fistula with amplatzer vascular plug-i

Transvenous closure of large aortopulmonary collateral

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