Balloon-Occluded Retrograde Transvenous Obliteration of a Gastric Vascular Malformation: An Innovative Approach to Treatment of a Rare Condition.
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.
Transitional Year/Graduate Medical Education Department, Medical Corps, United States Navy, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA. catherine.e.hansing.mil@mail.mil.
Catherine E
CE
Hansing
Radiology Department, Medical Corps, United States Navy, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA.
Joseph P
JP
Marquardt
Radiology Department, Medical Corps, United States Navy, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA.
Daniel M
DM
Sutton
Radiology Department, Medical Corps, United States Navy, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA.
John D
JD
York
D000328:Adult; D000818:Animals; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000628:therapy*; D021721:Balloon Occlusion / Q000379:methods*; D006801:Humans; D008297:Male; D035583:Rare Diseases; D013270:Stomach / Q000000981:diagnostic imaging; D013272:Stomach Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Arteriovenous malformation; Embolization; Gastric vascular malformation; Transvenous obliteration