Embolization of a Bleeding Duodenal Arteriovenous Malformation with a Conformable Embolic Material (Obsidio): Case Report
We report a case of duodenal arteriovenous malformation (AVM) that was successfully treated with a conformable embolic material. A 69-year-old woman presented with acute gastrointestinal bleeding with associated hemodynamic instability. Computed tomography demonstrated active bleeding from the duode...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1801868 |
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| Summary: | We report a case of duodenal arteriovenous malformation (AVM) that was successfully treated with a conformable embolic material. A 69-year-old woman presented with acute gastrointestinal bleeding with associated hemodynamic instability. Computed tomography demonstrated active bleeding from the duodenum. Endoscopy showed angioectasia in the duodenum and small bowel. Angiography revealed a simple, but actively bleeding AVM in the duodenum fed by the inferior pancreaticoduodenal artery, a nidus, and an outflow vein that drained into the portal vein. A conformable embolic material (Obsidio) was utilized to occlude the nidus and the feeding artery, resulting in hemodynamic stability and complete occlusion of the AVM. |
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| ISSN: | 2456-4869 |