Cirugía y Cirujanos (Jan 2021)

Endovascular management of a complex high-flow lower limb arteriovenous malformation: Case report and literature review

  • María C. Ornelas-Flores,
  • Guillermo A. Rojas-Reyna,
  • Carlos A. Hinojosa,
  • Stefany González-de Leo

DOI
https://doi.org/10.24875/CIRU.20000802
Journal volume & issue
Vol. 89, no. 91

Abstract

Read online

Introduction: Lower limb high-flow arteriovenous malformations (AVM) are a rare pathology with a chronic and progressive evolution. Development in imaging and treatment has helped to improve outcome. Objective: We report a case treated with multi-session endovascular embolization therapy with favorable results. Case report: A 44-year-old man referred with a complex high-flow lower limb AVM, previously treated with covered stents and a bypass. Six endovascular interventions were performed, combining different embolization methods. Conclusion: Endovascular treatment is a safe and effective option for high-flow AVMs. Embolization should be done carefully to prevent complications that could threaten the patient’s limb or life.

Keywords