Coil Embolization of a Large Recurrent Pulmonary Arteriovenous Malformation by Retrograde Transseptal Pulmonary Vein Access

A 55-year-old woman presented with stroke and exercise intolerance and was found to have a complex right lower lobe pulmonary arteriovenous malformation (PAVM). The PAVM morphology was complex with an extensive number of small feeding arteries/arterioles and 1 dominant draining vein (Fig 1). The PAVM was treated with transarterial embolization in 3 separate procedures over a 6-year time span, using multiple vascular plugs and coils. The patient was also diagnosed with antiphospholipid syndrome and started on warfarin anticoagulation.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Letter to the Editor Source Type: research