Endovascular management of an arteriovenous malformation using an occluder stent graft.
A 58-year-old woman presented with gangrene of the left upper arm stump caused by an arteriovenous malformation originating from the subclavian artery. She had been treated unsuccessfully in the past with repeated attempts of coil embolization and débridement, but finally she underwent arm amputation. A 14 mm diameter occlusion self-expandable stent was placed in the left subclavian artery via ipsilateral brachial artery access, with immediate and complete interruption of arterial supply to the vascular malformation. This minimally invasive treatment provides an alternative method of management of arteriovenous malformations in the subclavian region.
Vourliotakis
George
G
Department of Surgery, University of Ioannina, Greece.
Xanthopoulos
Dimitrios
D
Arnaoutoglou
Helen M
HM
Michalis
Lampros K
LK
Matsagas
Miltiadis I
MI
D000671:Amputation, Surgical; D015901:Angiography, Digital Subtraction; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*