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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Thieme Medical Publishers, Inc.
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1801868 |
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| author | Kalei Hering Patrick Sutphin Sanjeeva Kalva |
| author_facet | Kalei Hering Patrick Sutphin Sanjeeva Kalva |
| author_sort | Kalei Hering |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-3efd6aa9c90047f6a9cc5f8b35aee866 |
| institution | Kabale University |
| issn | 2456-4869 |
| language | English |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-3efd6aa9c90047f6a9cc5f8b35aee8662025-01-27T23:54:00ZengThieme Medical Publishers, Inc.Journal of Clinical Interventional Radiology ISVIR2456-486910.1055/s-0045-1801868Embolization of a Bleeding Duodenal Arteriovenous Malformation with a Conformable Embolic Material (Obsidio): Case ReportKalei Hering0https://orcid.org/0000-0001-5990-6059Patrick Sutphin1Sanjeeva Kalva2Harvard Medical School, Boston, Massachusetts, United StatesDivision of Interventional Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United StatesDivision of Interventional Radiology, Department of Radiology, University of Texas Southwestern, Dallas, Texas, United StatesWe 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1801868conformable embolicembolization |
| spellingShingle | Kalei Hering Patrick Sutphin Sanjeeva Kalva Embolization of a Bleeding Duodenal Arteriovenous Malformation with a Conformable Embolic Material (Obsidio): Case Report Journal of Clinical Interventional Radiology ISVIR conformable embolic embolization |
| title | Embolization of a Bleeding Duodenal Arteriovenous Malformation with a Conformable Embolic Material (Obsidio): Case Report |
| title_full | Embolization of a Bleeding Duodenal Arteriovenous Malformation with a Conformable Embolic Material (Obsidio): Case Report |
| title_fullStr | Embolization of a Bleeding Duodenal Arteriovenous Malformation with a Conformable Embolic Material (Obsidio): Case Report |
| title_full_unstemmed | Embolization of a Bleeding Duodenal Arteriovenous Malformation with a Conformable Embolic Material (Obsidio): Case Report |
| title_short | Embolization of a Bleeding Duodenal Arteriovenous Malformation with a Conformable Embolic Material (Obsidio): Case Report |
| title_sort | embolization of a bleeding duodenal arteriovenous malformation with a conformable embolic material obsidio case report |
| topic | conformable embolic embolization |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1801868 |
| work_keys_str_mv | AT kaleihering embolizationofableedingduodenalarteriovenousmalformationwithaconformableembolicmaterialobsidiocasereport AT patricksutphin embolizationofableedingduodenalarteriovenousmalformationwithaconformableembolicmaterialobsidiocasereport AT sanjeevakalva embolizationofableedingduodenalarteriovenousmalformationwithaconformableembolicmaterialobsidiocasereport |