Spinal Cord Infarction after Transcatheter Embolization of Pelvic Arteriovenous Malformation

An 80-year-old woman presented with abdominal and right lower limb pain. Radiological examination revealed pelvic arteriovenous malformations (pAVMs). Although transarterial embolization was repeated, dilation of the common iliac vein worsened. Four sessions of embolization were performed for the in...

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Autores principales: Wada, Shinji, Ogawa, Yukihisa, Hosoi, Kotaro, Hashimoto, Kazuki, Moriya, Junji, Hamaguchi, Shingo, Ito, Hidemichi, Nakamura, Homare, Mimura, Hidefumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315244/
https://www.ncbi.nlm.nih.gov/pubmed/32595795
http://dx.doi.org/10.3400/avd.cr.19-00111
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author Wada, Shinji
Ogawa, Yukihisa
Hosoi, Kotaro
Hashimoto, Kazuki
Moriya, Junji
Hamaguchi, Shingo
Ito, Hidemichi
Nakamura, Homare
Mimura, Hidefumi
author_facet Wada, Shinji
Ogawa, Yukihisa
Hosoi, Kotaro
Hashimoto, Kazuki
Moriya, Junji
Hamaguchi, Shingo
Ito, Hidemichi
Nakamura, Homare
Mimura, Hidefumi
author_sort Wada, Shinji
collection PubMed
description An 80-year-old woman presented with abdominal and right lower limb pain. Radiological examination revealed pelvic arteriovenous malformations (pAVMs). Although transarterial embolization was repeated, dilation of the common iliac vein worsened. Four sessions of embolization were performed for the internal iliac vein. Paraplegia gradually occurred a day after the final procedure. Magnetic resonance imaging revealed thoracic spinal cord edema and paraspinal vasodilatation, suggesting spinal cord infarction. Additional angiography revealed a radiculomedullary vein draining into the spinal canal from the pAVM; hence, surgical interruption was performed. Incomplete venous embolization of the pAVM caused spinal cord congestion and infarction.
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spelling pubmed-73152442020-06-26 Spinal Cord Infarction after Transcatheter Embolization of Pelvic Arteriovenous Malformation Wada, Shinji Ogawa, Yukihisa Hosoi, Kotaro Hashimoto, Kazuki Moriya, Junji Hamaguchi, Shingo Ito, Hidemichi Nakamura, Homare Mimura, Hidefumi Ann Vasc Dis Case Report An 80-year-old woman presented with abdominal and right lower limb pain. Radiological examination revealed pelvic arteriovenous malformations (pAVMs). Although transarterial embolization was repeated, dilation of the common iliac vein worsened. Four sessions of embolization were performed for the internal iliac vein. Paraplegia gradually occurred a day after the final procedure. Magnetic resonance imaging revealed thoracic spinal cord edema and paraspinal vasodilatation, suggesting spinal cord infarction. Additional angiography revealed a radiculomedullary vein draining into the spinal canal from the pAVM; hence, surgical interruption was performed. Incomplete venous embolization of the pAVM caused spinal cord congestion and infarction. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020-06-25 /pmc/articles/PMC7315244/ /pubmed/32595795 http://dx.doi.org/10.3400/avd.cr.19-00111 Text en Copyright © 2020 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2020 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Wada, Shinji
Ogawa, Yukihisa
Hosoi, Kotaro
Hashimoto, Kazuki
Moriya, Junji
Hamaguchi, Shingo
Ito, Hidemichi
Nakamura, Homare
Mimura, Hidefumi
Spinal Cord Infarction after Transcatheter Embolization of Pelvic Arteriovenous Malformation
title Spinal Cord Infarction after Transcatheter Embolization of Pelvic Arteriovenous Malformation
title_full Spinal Cord Infarction after Transcatheter Embolization of Pelvic Arteriovenous Malformation
title_fullStr Spinal Cord Infarction after Transcatheter Embolization of Pelvic Arteriovenous Malformation
title_full_unstemmed Spinal Cord Infarction after Transcatheter Embolization of Pelvic Arteriovenous Malformation
title_short Spinal Cord Infarction after Transcatheter Embolization of Pelvic Arteriovenous Malformation
title_sort spinal cord infarction after transcatheter embolization of pelvic arteriovenous malformation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315244/
https://www.ncbi.nlm.nih.gov/pubmed/32595795
http://dx.doi.org/10.3400/avd.cr.19-00111
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