Balloon-Occluded Retrograde Transvenous Obliteration of a Gastric Vascular Malformation: An Innovative Approach to Treatment of a Rare Condition

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• 作者：Catherine E. Hansing ; Joseph P. Marquardt…
• 关键词：Transvenous obliteration ; Gastric vascular malformation ; Arteriovenous malformation ; Embolization
• 刊名：CardioVascular and Interventional Radiology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：40
• 期：2
• 页码：310-314
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Imaging / Radiology; Cardiology; Nuclear Medicine; Ultrasound;
• 出版者：Springer US
• ISSN：1432-086X
• 卷排序：40

文摘

Arteriovenous malformations (AVMs) are a high-flow form of a vascular malformation, which can be found anywhere in the body. While historically treated surgically, a multidisciplinary approach utilizing multiple specialties and treatment modalities is now commonly employed. In order to effectively treat an AVM, the nidus must be targeted and eradicated, which can be done via multiple approaches. We present the case of a 43-year-old male with a gastric wall AVM, which was initially incompletely treated using a percutaneous transarterial approach. The gastric AVM was noted to have dominant drainage through a gastrorenal shunt; therefore, Balloon-occluded Retrograde Transvenous Obliteration (BRTO) was utilized to eradicate the AVM nidus. This case illustrates the utility of Interventional Radiology, specifically BRTO, as another treatment option for challenging AVMs.