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American Journal of Roentgenology, Vol 140, Issue 4, 773-778
Copyright © 1983 by American Roentgen Ray Society

Articles

Embolization of arteriovenous malformations by direct percutaneous puncture

JL Doppman and P Pevsner

Permanent control of arteriovenous malformations requires obliteration of the intrinsic vasculature of the lesion with a nonresorbable occlusive material. When tortuous feeding arteries prevent successful catheter positioning, it may be possible to percutaneously puncture the malformation with a Chiba needle for direct embolization with cyanoacrylate. Three illustrative cases are presented. In each, previous surgical ligation of feeding vessels was ineffective and embolization by catheter was not possible when the fistula recurred. Direct puncture of one or more feeding vessels with occlusion by cyanoacrylate controlled these fistulas, two of which were massive. No complications occurred.
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Copyright © 1983 by the American Roentgen Ray Society.