Patient | Type/Location | Symptoms | Approach | Fluoroscopy time (mins) | Embolic agent | Complications | Follow up time (months) | Symptomatic improvement (Y/N) | Clinical follow up outcome | Imaging follow up |
---|---|---|---|---|---|---|---|---|---|---|
1 | Low-flow AVM, calf | Lower limb thrombus, pain | Arterial and percutaneous | 23.7 | Liquid sodium tetradecyl sulphate, 3% | Nil | 3 months | Y | Improved exercise tolerance, discoloration and pain | No residual arterial component on MRI |
2 | High flow AVM, ankle | Pain | Arterial and venous | 39.3 | PHIL | Nil | 6 months | Y | No ongoing pain or swelling, reduction in size, decreased discoloration | Significant reduction in size (only few small arterial feeders persisting) on MRI |
3 | High flow AVM, Elbow | Pain and swelling | Arterial and venous | 70.7 | Onyx and PHIL | Nil | 2 years | Y | AVM recurrence requiring repeat endovascular treatment | Planned for 6 months postprocedure |
4 | Low flow venous malformation, tongue | Recurrent oral bleeding, aesthetically displeasing for patient | Arterial and percutaneous | 15.7 | Liquid sodium tetradecyl sulphate, 3% | Oropharyngeal swelling, tracheostomy | 1 year | Y | Some residual symptoms including oral fullness and occasional ulceration and bleeding | Significant reduction in size of lingual compartment on MRI with residual arterial flow and patency in compartment at the floor of the mouth (smaller compared to preprocedural imaging) |
5 | High flow AVM, hand | Right arm pain, venous distension | Arterial and venous | 114.7 | Onyx and PHIL | Postprocedural haematoma, arterial dissection | 9 months | Y | Improvement in pain, normal hand function | Some persistent arterialised flow extending from embolic material suggesting some AVM residium on postprocedural CT angiogram |
6 | High flow AVM, uterine | Large PV bleeding | Arterial and venous | 273 | Onyx | Nil | 3 months | Y | No further irregular PV bleeding | N/A |
7 | High flow AVM, calf | Swelling and pain | Arterial | Not available | Polidocanol 3% liquid embolic | Nil | 1 month | Y | Improvement in pain/ discomfort. Some ongoing swelling | Complete obliteration of AVM |