Endovascular Treatment of Pulmonary Arteriovenous Malformations: How We Do It
Pulmonary arteriovenous malformation (PAVM) is a rare disease disproportionally affecting patients with hereditary hemorrhagic telangiectasia and may be associated with other pulmonary or infectious etiologies. Respiratory symptoms are the most common, including dyspnea, hypoxemia, and hemoptysis. D...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-07-01
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| Series: | The Arab Journal of Interventional Radiology |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_23_18 |
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| author | Xin Li Leen Alkukhun Sasan Partovi Victor Kondray Mohammed Al-Natour |
| author_facet | Xin Li Leen Alkukhun Sasan Partovi Victor Kondray Mohammed Al-Natour |
| author_sort | Xin Li |
| collection | DOAJ |
| description | Pulmonary arteriovenous malformation (PAVM) is a rare disease disproportionally affecting patients with hereditary hemorrhagic telangiectasia and may be associated with other pulmonary or infectious etiologies. Respiratory symptoms are the most common, including dyspnea, hypoxemia, and hemoptysis. Due to the impairment of normal pulmonary filtration function, patients with PAVM are at risk for embolic events, ranging from ischemic strokes to brain abscesses. More importantly, PAVM can enlarge over time or with physiological changes, which may lead to catastrophic hemorrhages and increased embolization risks. From imaging perspective, echocardiography with contrast bubbles and computed tomography can both be used to diagnose PAVMs with high sensitivity and specificity. Treatment modalities have evolved from invasive surgeries to transluminal catheter-based interventions. In recent decades, the evolution of interventional techniques and equipment has resulted in a high technical success rate for the treatment of PAVMs. Here, we present the interventional PAVM treatment protocol at our institution. |
| format | Article |
| id | doaj-art-e1b057750a3445d39ec1e3992d8746e2 |
| institution | DOAJ |
| issn | 2542-7075 2542-7083 |
| language | English |
| publishDate | 2018-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Arab Journal of Interventional Radiology |
| spelling | doaj-art-e1b057750a3445d39ec1e3992d8746e22025-08-20T03:19:07ZengWolters Kluwer Medknow PublicationsThe Arab Journal of Interventional Radiology2542-70752542-70832018-07-01202647010.4103/AJIR.AJIR_23_18Endovascular Treatment of Pulmonary Arteriovenous Malformations: How We Do ItXin Li0Leen Alkukhun1Sasan Partovi2Victor Kondray3Mohammed Al-Natour4Department of Radiology, University Hospital Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USADepartment of Radiology, University Hospital Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USADepartment of Radiology, University Hospital Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USADepartment of Radiology, University Hospital Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USADepartment of Radiology, University Hospital Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USAPulmonary arteriovenous malformation (PAVM) is a rare disease disproportionally affecting patients with hereditary hemorrhagic telangiectasia and may be associated with other pulmonary or infectious etiologies. Respiratory symptoms are the most common, including dyspnea, hypoxemia, and hemoptysis. Due to the impairment of normal pulmonary filtration function, patients with PAVM are at risk for embolic events, ranging from ischemic strokes to brain abscesses. More importantly, PAVM can enlarge over time or with physiological changes, which may lead to catastrophic hemorrhages and increased embolization risks. From imaging perspective, echocardiography with contrast bubbles and computed tomography can both be used to diagnose PAVMs with high sensitivity and specificity. Treatment modalities have evolved from invasive surgeries to transluminal catheter-based interventions. In recent decades, the evolution of interventional techniques and equipment has resulted in a high technical success rate for the treatment of PAVMs. Here, we present the interventional PAVM treatment protocol at our institution.http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_23_18interventional treatmentmultidetector computed tomographypulmonary arteriovenous malformationtransthoracic contrast echocardiography |
| spellingShingle | Xin Li Leen Alkukhun Sasan Partovi Victor Kondray Mohammed Al-Natour Endovascular Treatment of Pulmonary Arteriovenous Malformations: How We Do It The Arab Journal of Interventional Radiology interventional treatment multidetector computed tomography pulmonary arteriovenous malformation transthoracic contrast echocardiography |
| title | Endovascular Treatment of Pulmonary Arteriovenous Malformations: How We Do It |
| title_full | Endovascular Treatment of Pulmonary Arteriovenous Malformations: How We Do It |
| title_fullStr | Endovascular Treatment of Pulmonary Arteriovenous Malformations: How We Do It |
| title_full_unstemmed | Endovascular Treatment of Pulmonary Arteriovenous Malformations: How We Do It |
| title_short | Endovascular Treatment of Pulmonary Arteriovenous Malformations: How We Do It |
| title_sort | endovascular treatment of pulmonary arteriovenous malformations how we do it |
| topic | interventional treatment multidetector computed tomography pulmonary arteriovenous malformation transthoracic contrast echocardiography |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_23_18 |
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