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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
ORNELAS-FLORES, María C.; ROJAS-REYNA, Guillermo A.; HINOJOSA-GUTIERREZ, Carlos G. and GONZALEZ-DE LEO, Stefany. Endovascular management of a complex high-flow lower limb arteriovenous malformation: Case report and literature review. Cir. cir. [online]. 2021, vol.89, suppl.1, pp.14-19. Epub Feb 08, 2022. ISSN 2444-054X. https://doi.org/10.24875/ciru.20000802.
Introduction:
Lower limb high-flow arteriovenous malformations (AVM) are a rare pathology with a chronic and progressive evolution. Development in imaging and treatment has helped to improve outcome.
Objective:
We report a case treated with multi-session endovascular embolization therapy with favorable results.
Case report:
A 44-year-old man referred with a complex high-flow lower limb AVM, previously treated with covered stents and a bypass. Six endovascular interventions were performed, combining different embolization methods.
Conclusion:
Endovascular treatment is a safe and effective option for high-flow AVMs. Embolization should be done carefully to prevent complications that could threaten the patient’s limb or life.
Keywords : Arteriovenous malformation; Endovascular surgery; Embolization; Lower extremity.
