Spinal Cord Infarction after Transcatheter Embolization of Pelvic Arteriovenous Malformation.

Autor:	Wada S; Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan., Ogawa Y; Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan., Hosoi K; Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan., Hashimoto K; Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan., Moriya J; Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan., Hamaguchi S; Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan., Ito H; Department of Neurosurgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan., Nakamura H; Department of Neurosurgery, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Yokohama, Kanagawa, Japan., Mimura H; Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.
Jazyk:	angličtina
Zdroj:	Annals of vascular diseases [Ann Vasc Dis] 2020 Jun 25; Vol. 13 (2), pp. 176-179.
DOI:	10.3400/avd.cr.19-00111
Abstrakt:	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. Competing Interests: Disclosure StatementHidefumi Mimura received research grants from Nihon Medi-Physics Co.,Ltd., Fuji Pharma Co.,Ltd., FUJIFILM Toyama Chemical Co., Ltd. and Eisai Co., Ltd.; Other authors have no conflict of interest. (Copyright © 2020 Annals of Vascular Diseases.)
Databáze:	MEDLINE
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