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Case Rep Vasc Med. 2014;2014:972870. doi: 10.1155/2014/972870. Epub 2014 Aug 7.

Concomitant transarterial and transvenous embolization of a pelvic arteriovenous malformation using a new liquid embolic agent, squid-12 and detachable coils.

Author information

1
Department of Radiology, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, 34147 Istanbul, Turkey.
2
Department of Cardiovascular Surgery, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, 34147 Istanbul, Turkey.

Abstract

We describe a complex congenital pelvic AVM with multiple feeding arteries arising from the side branches of the right internal iliac artery and a single draining vein in a male patient. Concomitant transarterial and transvenous embolization with a new liquid embolic agent Squid-12 and metallic coils enabled a complete embolization at a single session. Squid-12 is composed of ethylene vinyl alcohol copolymers and its lower viscosity makes it a promising agent for the treatment of AVMs. The patient showed prompt resolution of the symptoms and complete devascularization of the AVM lesion was persisted on the 1-month control angiography. The patient was asymptomatic on the 6th month follow-up.

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