| A Case of Transcatheter Coil Embolization of Diffuse Pulmonary Arteriovenous Malformation |
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Hye Kyung Lee1, Gun Soo Han2 |
1Department of Pediatrics, College of Medicine, Soonchunhyang University, Chunan, Korea
2Department of Radiology , College of Medicine, Soonchunhyang University, Chunan, Korea |
| 다발성 폐동정맥루에서 코일 색전술 1례 |
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이혜경1, 한건수2 |
1순천향대학교 의과대학 소아과학교실
2순천향대학교 의과대학 방사선학교실 |
Correspondence:
Hye Kyung Lee, Email: hyekyung@schch.co.kr
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| Abstract |
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This is a case report of multiple coil embolization for the diffuse pulmonary arteriovenous malformations(
PAVM). PAVMs are direct communications between pulmonary arteries and pulmonary
veins, resulting in an anatomic right-to-left shunt that may cause paradoxical embolization to
may occur, resulting in neurologic complications such as stroke or cerebral abscess. The treatment
of choice for solitary PAVMs was limited to surgical resection or ligation of the PAVM
but, multiple PAVMs present a difficult management problem, since surgical resection is not
feasible in most instances. The coil embolization is a safe and effective treatment of multiple
PAVMs. Our exprience was of a 5-year-old boy who had cyanosis and clubbing of his finger,
and was diagnosed with multiple PAVMs by chest CT and pulmonary angiography. The coil
embolization was peformed, thirteen vessels were successfully occluded and no complication in
placement of coils occured. Embolization therapy should be performed in all cases of PAVMs to
prevent neurologic complications. |
| Key Words:
Multiple pulmonary arteriovenous malformations, Coil embolization |
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