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Step approach in treatment of complex multiplearteriovenous fistulas of the right lung usingAMPLATZER VASCULAR PLUG II OCCLUDER

Authors: Pursanov M.G., Sobolev A.V., Belkina M.V., Shmal’ts A.A., Mataeva T.V., Gorbachevskiy S.V.

Company: Bakoulev National Scientific and Practical Center for Cardiovascular Surgery of Ministry of Health of the Russian Federation; Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

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DOI: https://doi.org/10.15275/kreatkard.2017.01.07

For citation: Pursanov M.G., Sobolev A.V., Belkina M.V., Shmal’ts A.A., Mataeva T.V., Gorbachevskiy S.V. Step approach in treatment of complex multiple arteriovenous fistulas of the right lung using Amplatzer Vascular plug II occluder. Kreativnaya kardiologiya (Creative Cardiology, Russian journal). 2017; 11 (1): 71–8 (in Russ.). DOI: 10.15275/kreatkard.2017.01.07

Received / Accepted:  March 02, 2017 / March 13, 2017

Keywords: pulmonary arteriovenous malformation endovascular treatment occluder

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Abstract

Despite rare occurrence of arteriovenous fistulas, the problem of its diagnosis and treatment is relevant due to complicated clinical course and polymorphism of this pathology. With the advent of the occluders it became possible to treat patients with major arteriovenous malformations with endovascular approach, which previously were considered only a surgical problem. In this article we present a case report about first stage treatment of a 4 year old child with complex multiple arteriovenous malformations. Successful endovascular occlusion with Amplatzer Vascular plug II occluder of a major malformation in the upper lobe of the lung was performed as a first stage of surgical treatment

References

  1. Rozenshtraukh L.S., Rybakova N.I., Vinner M.G.X-ray diagnostic of the respiratory system Moscow:Meditsina; 1987: 134–5 (in Russ.).
  2. Gossage J.R., Kanj G. Pulmonary arteriovenousmalformations. A state of the art review. Am. J.Respir. Crit. Care Med. 1998; 158 (2): 643–61.
  3. Gartin-Ceba R., Swanson K.L., Krowka M.J.Pulmonary artiriovenous malformations. Chest.2013; 144 (3): 1033–44.
  4. Rabkin I.Kh., Matevosov A.L., Gotman L.N. X-rayendovascular surgery. Moscow: Meditsina; 1987:368–80 (in Russ.).
  5. Lacombe P., Lacout A., Marcy P.Y., Binsse S.,Sellier J., Bensalah M. et al. Diagnosis and treat-ment of pulmonary arteriovenous malformations inhereditary hemorrhagic telengiectasia: an overview.Diagn. Iterv. Imaging.2013; 94 (9): 835–48.
  6. Burke C.M., Safai C., Nelson D.P. et al. Pulmonaryarteriovenous malformations: a critical update. Am.Rev. Resp. Dis. 1986; 134; 2: 334–9.
  7. White R.J., Mitchell S.E., Barth K.H., Kaufman S.L.et al. Angioarchitecture of pulmonary arteriove-nous malformations: an important considerationbefore embolotherapy. Am. J. Radiol.1983; 140:681–6.
  8. Meek M.E., Meek J.C., Beheshti M.V. Manage-ment of pulmonary arteriovenous malformations.Semin. Intervent Radiol.2011; 28 (01): 24–31.
  9. Lee E.Y., Boiselle P.M., Cleveland R.H. Multide-tector CT evaluetion of congenital lung anomalies.Radiology. 2008; 247 (3): 632–48.
  10. Bobrov E.I. Arteriovenous fistulas of the lung: diag-nostic and endovascular. Regionarnoe krovosnab-zhenie i mikrotsirkulyatsiya.2003; 2 (3): 11–6(in Russ.).
  11. Love B.A. Pulmonary arteriovenous fistulae treat-ment & management. Medscape Reference.2012;10: 1–6.
  12. Barth K.H., White R.J., Kaufmann S.H. et al.Embolotherapy of pulmonary arteriovenous mal-formations with detachable balloons. Radiology.1982; 142 (3): 599–606.
  13. Ryabinskiy V.S., Stepanov V.N., Perel’man V.M.Pulmonary artery embolization with a conicalshape metal coils. Urologiya i nefrologiya.1985; 4:9–12 (in Russ.)
  14. Terry P.B., White R.J., Barth K.H. et al. Pulmo-nary arteriovenous malformations: Physiologicobservations and results of therapeutic balloonembolization. N. Engl. J. Med.1983; 308 (20):1197–200.
  15. Bialkowski J., Zabal C., Szkutnik M. et al. Percu-taneous interventional closure of large pulmonaryarttriovenous fistulas with amplatzer duct occluder.Am. J. Cardiol.2005; 96 (1): 127–9.
  16. Thakkar B.M, Shah J., Shukla A. Transcatheterdevice occlusion of a large pulmonary arteriove-nous fistula by exit closure: the road less travelled.J. Invasive Cardiol.2014; 26: E1–4.
  17. Kucukay F., Ozdemir M., Senol E., Okten S., Ere-ren M., Karan A. Large pulmonary arteriovenousmalformations: long-term results of embolizationwith AMPLATZER vascular plugs. J. Vasc. Interv.Radiol. 2014; 25: 1327–32.
  18. Cil B., Canayigit M., Ozkan O.S., Pamuk G.A.,Dogan R. Bilateral multiple pulmonary arteriove-nous malformations: endovascular treatment withthe Amplatzer Vascular Plug. J. Vasc. Interv. Radiol.2006; 17 (1): 141–5.
  19. Khurshid I., Downie G.H. Pulmanary arteriove-nous malformation. Postgrad Med. J.2002; 78 (918):191–7.20. Gill S.S., Roddie M.E., Shovlin C.L. et al.Pulmonary arteriovenous malformations and theirmimics. Clin. Radiol.2015; 70 (1): 96–110.
  20. Gill S.S., Roddie M.E., Shovlin C.L. et al.Pulmonary arteriovenous malformations and theirmimics. Clin. Radiol.2015; 70 (1): 96–110

About Authors

  • Pursanov Manolis Georgievich, MD, DM, Chief of Department;
  • Sobolev Andrey Vasil’evich, MD, PhD, Leading Research Associate;
  • Belkina Marianna Viktorovna, MD, PhD, Senior Research Associate;
  • Shmal’ts Anton Alekseevich, MD, DM, Leading Research Associate;
  • Mataeva Tat’yana Valer’evna, MD, PhD, Radiologist;
  • Gorbachevskiy Sergey Valer’evich, MD, DM, Professor, Chief of Department

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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