title: An endovascular option is the final treatment for a giant arteriovenous malformation.
abstract: We report the case of a 58-year-old man presented with bleeding ulcer of the left arm caused by a high-flow type-C arteriovenous malformation (AVM), feed by branches from both the subclavian arteries. He had been previously treated with AVM sclerotherapy, embolization, humeral artery endografting, and open surgery. We urgently performed coil embolization of the left vertebral artery, and we covered the huge subclavian artery by a thoracic endograft. Then, we embolized the right tyrocervical trunk. The result was an immediate interruption of bleeding. At 12 months, the patient had no neurologic complications, and the upper limb continued to decompress.
authors.affiliation: Department of Vascular Surgery, Policlinico Universitario "G. Martino" of Messina, Messina, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Benedetto
authors.affiliation: Department of Vascular Surgery, Policlinico Universitario "G. Martino" of Messina, Messina, Italy.
authors.forename: Narayana
authors.initials: N
authors.lastname: Pipitò
authors.affiliation: Department of Vascular Surgery, Policlinico Universitario "G. Martino" of Messina, Messina, Italy. Electronic address: davidbarilla.db@gmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Barillà
authors.affiliation: Department of Vascular Surgery, Policlinico Universitario "G. Martino" of Messina, Messina, Italy.
authors.forename: Domenico
authors.initials: D
authors.lastname: Spinelli
authors.affiliation: Department of Vascular Surgery, Policlinico Universitario "G. Martino" of Messina, Messina, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Stilo
authors.affiliation: Department of Vascular Surgery, Policlinico Universitario "G. Martino" of Messina, Messina, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Spinelli
mesh_terms: D001165:Arteriovenous Malformations / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D001783:Blood Flow Velocity; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012039:Regional Blood Flow; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*