Abstract
Long-term follow-up results after embolization of 13 pulmonary arteriovenous malformations in 10 patients by use of 14 detachable silicone balloons are given. Patients were followed for a mean of 99 months (range, 63–123 months) with chest x-rays and for a mean of 62 months (range, 3–101 months) with pulmonary angiography. Fifty-four percent of the balloons were deflated at latest radiographic chest film follow-up, but at pulmonary angiographic follow-up all embolized malformations were without flow irrespective of whether or not the balloons were visible. Detachable silicone balloons are not available anymore, but use of these balloons for embolization of pulmonary arteriovenous malformations has been shown to be a safe and precise method, with immediate occlusion of the feeding artery and with long-lasting occlusion, even though many balloons deflate with time, leaving a fibrotic scar replacing the pulmonary arteriovenous malformation. No case of recanalization has been discovered, and these results seem to justify a reduced number of controls of these balloon-embolized malformations.
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White RI Jr, Pollak JS, Wirth JA (1996) Pulmonary arteriovenous malformations: diagnosis and transcatheter embolotherapy. J Vasc Interv Radiol 7:787–804
Terry PB, Barth KH, Kaufman SL, et al. (1980) Balloon embolization for treatment of pulmonary arteriovenous fistulas. N Engl J Med 302:1189–1190
Pollak JS, Egglin TK, Rosenblatt MM, et al. (1994) Clinical results of transvenous systemic embolotherapy with a neuroradiologic detachable balloon. Radiology 191:477–482
Pollak JS, Saluja S, Thabet A, et al. (2006) Clinical and anatomic outcomes after embolotherapy of pulmonary arteriovenous malformations. J Vasc Interv Radiol 17:35–45
Saluja S, Sitko I, Pollak JS, et al. (1999) Embolotherapy of pulmonary arteriovenous malformations with detachable balloons: long-term durability and efficacy. J Vasc Interv Radiol 10:883–889
Pollak JS, Lee GK, White RI Jr, et al. (1993) Comparison of the mechanical properties of detachable balloons for embolotherapy. J Vasc Interv Radiol 4:91–95
Mager JJ, Overtoom TTC, Blauw H, et al. (2004) Embolotherapy of pulmonary arteriovenous malformations: long-term results in 112 patients. J Vasc Interv Radiol 15:451–456
Dutton JA, Jackson JE, Hughes JM, et al. (1995) Pulmonary arteriovenous malformations: results of treatment with coil embolization in 53 patients. Am J Roentegenol 165:1119–1125
Andersen PE, Kjeldsen AD, Oxhøj H, et al. (1999) Percutaneous transluminal treatment of pulmonary arteriovenous malformations. J Interv Radiol 14:164–170
Andersen PE, Kjeldsen AD (2006) Clinical and radiological long-term follow-up after embolization of pulmonary arteriovenous malformations. CardioVasc Interv Radiol 29:70–74
Lee DW, White RI Jr, Egglin TK, et al. (1997) Embolotherapy of large pulmonary arteriovenous malformations: long-term results. Ann Thorac Surg 64:930–940
Sagara K, Miyazono N, Inoue H, et al. (1998) Recanalization after coil embolotherapy of pulmonary arteriovenous malformations: study of long-term outcome and mechanism for recanalization. Am J Roentgenol 170:727–730
White RI Jr, Lynch-Nyhan A, Terry P, et al. (1988) Pulmonary arteriovenous malformations: techniques and long-term outcome of embolotherapy. Radiology 169:663–669
Andersen PE, Kjeldsen AD (2007) Occlusion of pulmonary arteriovenous malformations by use of vascular plug. Acta Radiol 48:496–499
White RI Jr, Pollak JS (2006) Controlled delivery of pushable fibered coils for large vessel embolotherapy. In: Golzarian J (ed) Vascular embolotherapy: a comprehensive approach. Springer, New York, pp 35–42
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Andersen, P.E., Kjeldsen, A.D. Long-Term Follow-up After Embolization of Pulmonary Arteriovenous Malformations with Detachable Silicone Balloons. Cardiovasc Intervent Radiol 31, 569–574 (2008). https://doi.org/10.1007/s00270-007-9256-6
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DOI: https://doi.org/10.1007/s00270-007-9256-6