title: Novel endovascular techniques to control in-outflow with dual approach for large pelvic arteriovenous malformation.
abstract: Here, we present the case of a 51-year-old woman with high-output congestive heart failure caused by a large pelvic arteriovenous malformation. Endovascular treatment that combined arterial nidus embolization with n-butyl 2-cyanoacrylate, coil embolization of the venous component, and balloon-occluded retrograde transvenous obliteration was performed. A promising therapeutic outcome was achieved without recurrence of symptoms over a 3-year period. The combination of these techniques to control arterial inflow and venous outflow is a novel method for the treatment of large pelvic arteriovenous malformation.
authors.affiliation: Department of Radiology, Nippon Medical School, Tokyo, Japan. Electronic address: s8090@nms.ac.jp.
authors.forename: Takahiko
authors.initials: T
authors.lastname: Mine
authors.affiliation: Department of Radiology, Nippon Medical School, Tokyo, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Murata
authors.affiliation: Department of Radiology, Nippon Medical School, Tokyo, Japan.
authors.forename: Ken
authors.initials: K
authors.lastname: Nakazawa
authors.affiliation: Department of Radiology, Nippon Medical School, Tokyo, Japan.
authors.forename: Shiro
authors.initials: S
authors.lastname: Onozawa
authors.affiliation: Department of Radiology, Nippon Medical School, Tokyo, Japan.
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Ueda
authors.affiliation: Department of Radiology, Nippon Medical School, Tokyo, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Kumita