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.
N1 - Publisher Copyright:
© Cardiovascular Diagnosis and Therapy. All rights reserved.
PY - 2018/6
Y1 - 2018/6
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
M3 - Review article
C2 - 30057880
AN - SCOPUS:85049400153
SN - 2223-3652
VL - 8
SP - 338
EP - 349
JO - Cardiovascular Diagnosis and Therapy
JF - Cardiovascular Diagnosis and Therapy
IS - 3
ER -