Endovascular embolization of a muscular symptomatic arteriovenous malformation with Glubran 2 acrylic glue.

Abstract

OBJECTIVE:

Few cases of muscle arteriovenous malformations have been reported in literature to date.

CASE REPORT:

We report the case of a 32-year-old man presenting a muscle arteriovenous malformation involving the vastus lateralis muscle with recurrent episodes of pain. The patient was treated by transcatheter embolization with Glubran 2 acrylic glue. There were no periprocedural or subsequent clinical complications, the glue resulted in successful selective occlusion and the patient showed resolution of symptoms at the six-months follow-up.

CONCLUSIONS:

Endovascular therapy has been shown to be beneficial in patients with high surgical risks and is the treatment of choice for arteriovenous malformation lesions that extend beyond the deep fascia and involve muscle, tendon, and bone. Glubran 2 constitutes a useful tool to attempt embolization of the muscle arteriovenous malformation nidus, with easier handling and promising results.

• Authors: Enrique M San Norberto, José A Brizuela, Álvaro Revilla, James H Taylor, Carlos Vaquero
• Journal: Vascular (Vascular) Vol. 23 Issue 4 Pg. 432-5 (Aug 2015) ISSN: 1708-539X [Electronic] England
• PMID: 25208903 (Publication Type: Case Reports, Journal Article)
• Copyright: © The Author(s) 2014.

Chemical References

• Cyanoacrylates
• glubran 2

Topics

• Adult
• Angiography, Digital Subtraction
• Arteriovenous Malformations (diagnosis, therapy)
• Cyanoacrylates (administration & dosage)
• Embolization, Therapeutic (methods)
• Endovascular Procedures (methods)
• Humans
• Male
• Quadriceps Muscle (blood supply)
• Time Factors
• Tomography, X-Ray Computed
• Treatment Outcome