Advertisement

Pressure Cooker Technique for the Treatment of a Pelvic Arteriovenous Malformation Associated with a Giant Venous Aneurysmal Dilatation

  • Konstantinos PalialexisEmail author
  • George Magoufis
  • Stavros Spiliopoulos
  • Lazaros Reppas
  • Dimitris Filippiadis
  • Elias Brountzos
Letter to the Editor
  • 30 Downloads

Dear Editor,

The pressure cooker technique has recently been described as a specific technique for embolization of cerebral arteriovenous malformations. The principle of this technique is to create a plug of coils and glue between the catheter tip and the detachment zone of a previously placed DMSO-compatible microcatheter. The embolic agent is forced to completely fill the nidus of the AVM without disruption increasing the technical success by avoiding reflux of the embolic material which leads to premature termination of the procedure [ 1, 2, 3]. We present a rare case of a 46-year-old man with pAVM associated with a giant venous aneurysmal pouch, treated by endovascular route, using liquid embolic material and the “pressure cooker” technique. The patient presented with mild pelvic discomfort and recent episodes of dysuria. He had a history of laparoscopic bilateral spermatic vein ligation due to bilateral varicocele, 12 years ago. CT angiography demonstrated a pelvic AV shunt...

Notes

Compliance with Ethical Standards

Conflicts of interest

The authors declared that they have no conflict of interest.

Informed Consent

A written informed consent has been signed by the individual participating in this case.

References

  1. 1.
    Chapot R, Stracke P, Velasco A, et al. The pressure cooker technique for treatment of brain AVMs. J Neuroradiol. 2014;41:87–9.CrossRefGoogle Scholar
  2. 2.
    Game X, Berlizot P, Hassan T, et al. Congenital pelvic arteriovenous malformation in male patients: a rare cause of urological symptoms and role of embolisation. Eur Urol. 2002;42:407–12.CrossRefGoogle Scholar
  3. 3.
    Rosen RJ, Riles TS. Arteriovenous malformations. In: Strandness Jr DE, van Breda A, editors. Vascular diseases: surgical and interventional therapy. New York: Churchill Livingstone; 1994. p. 1121–37.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2019

Authors and Affiliations

  • Konstantinos Palialexis
    • 1
    Email author
  • George Magoufis
    • 2
  • Stavros Spiliopoulos
    • 1
  • Lazaros Reppas
    • 1
  • Dimitris Filippiadis
    • 1
  • Elias Brountzos
    • 1
  1. 1.2nd Department of Radiology, Division of Interventional Radiology, Medical School, “Attikon” University General HospitalNational and Kapodistrian University of AthensAthensGreece
  2. 2.Division of Interventional NeuroradiologyMetropolitan HospitalAthensGreece

Personalised recommendations