Pulmonary arteriovenous malformations

Endovascular therapy

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Pulmonary arteriovenous malformations (PAVM) are abnormal direct communications between the branches of pulmonary arteries and veins, and are often seen in patients with hereditary hemorrhagic telangiectasia (HHT). If untreated, the right to left shunt can result in symptoms of hypoxemia, paradoxical emboli to the left side circulation, stroke and intracranial abscess. Endovascular therapy is a minimally invasive outpatient based treatment wherein the feeding artery to the PAVM is occluded with coils or plugs or a combination of both and is associated with minimal morbidity and no mortality. In this manuscript, we will review the indications and contraindications for endovascular therapy, pre-procedural work up, procedure technique and variations, complications, and outcomes.

Original languageEnglish (US)
Pages (from-to)338-349
Number of pages12
JournalCardiovascular Diagnosis and Therapy
Volume8
Issue number3
DOIs
StatePublished - Jun 1 2018

Fingerprint

Arteriovenous Malformations
Lung
Pulmonary Artery
Hereditary Hemorrhagic Telangiectasia
Pulmonary Veins
Embolism
Abscess
Outpatients
Therapeutics
Stroke
Communication
Morbidity
Mortality

Keywords

  • Coil
  • Embolization
  • Hereditary hemorrhagic telangiectasia (HHT)
  • Occlusion
  • Plug
  • Pulmonary arteriovenous malformation (PAVM)

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Pulmonary arteriovenous malformations: Endovascular therapy",
abstract = "Pulmonary arteriovenous malformations (PAVM) are abnormal direct communications between the branches of pulmonary arteries and veins, and are often seen in patients with hereditary hemorrhagic telangiectasia (HHT). If untreated, the right to left shunt can result in symptoms of hypoxemia, paradoxical emboli to the left side circulation, stroke and intracranial abscess. Endovascular therapy is a minimally invasive outpatient based treatment wherein the feeding artery to the PAVM is occluded with coils or plugs or a combination of both and is associated with minimal morbidity and no mortality. In this manuscript, we will review the indications and contraindications for endovascular therapy, pre-procedural work up, procedure technique and variations, complications, and outcomes.",
keywords = "Coil, Embolization, Hereditary hemorrhagic telangiectasia (HHT), Occlusion, Plug, Pulmonary arteriovenous malformation (PAVM)",
author = "Chamarthy, {Murthy R.} and Harold Park and Patrick Sutphin and Girish Kumar and Daniel Lamus and Sachin Saboo and Matthew Anderson and Kalva, {Sanjeeva P.}",
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TY - JOUR

T1 - Pulmonary arteriovenous malformations

T2 - Endovascular therapy

AU - Chamarthy, Murthy R.

AU - Park, Harold

AU - Sutphin, Patrick

AU - Kumar, Girish

AU - Lamus, Daniel

AU - Saboo, Sachin

AU - Anderson, Matthew

AU - Kalva, Sanjeeva P.

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Pulmonary arteriovenous malformations (PAVM) are abnormal direct communications between the branches of pulmonary arteries and veins, and are often seen in patients with hereditary hemorrhagic telangiectasia (HHT). If untreated, the right to left shunt can result in symptoms of hypoxemia, paradoxical emboli to the left side circulation, stroke and intracranial abscess. Endovascular therapy is a minimally invasive outpatient based treatment wherein the feeding artery to the PAVM is occluded with coils or plugs or a combination of both and is associated with minimal morbidity and no mortality. In this manuscript, we will review the indications and contraindications for endovascular therapy, pre-procedural work up, procedure technique and variations, complications, and outcomes.

AB - Pulmonary arteriovenous malformations (PAVM) are abnormal direct communications between the branches of pulmonary arteries and veins, and are often seen in patients with hereditary hemorrhagic telangiectasia (HHT). If untreated, the right to left shunt can result in symptoms of hypoxemia, paradoxical emboli to the left side circulation, stroke and intracranial abscess. Endovascular therapy is a minimally invasive outpatient based treatment wherein the feeding artery to the PAVM is occluded with coils or plugs or a combination of both and is associated with minimal morbidity and no mortality. In this manuscript, we will review the indications and contraindications for endovascular therapy, pre-procedural work up, procedure technique and variations, complications, and outcomes.

KW - Coil

KW - Embolization

KW - Hereditary hemorrhagic telangiectasia (HHT)

KW - Occlusion

KW - Plug

KW - Pulmonary arteriovenous malformation (PAVM)

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U2 - 10.21037/cdt.2017.12.08

DO - 10.21037/cdt.2017.12.08

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VL - 8

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JO - Cardiovascular Diagnosis and Therapy

JF - Cardiovascular Diagnosis and Therapy

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