Surgical treatment of arteriovenous malformations of the buttock

For symptomatic buttock arteriovenous malformations (AVMs), embolization techniques and surgical resection have been suggested as treatment options. Our aim was to evaluate the feasibility and long-term results after a single surgical resection. Twelve patients had undergone surgical resection witho...

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Main Authors: Claude Laurian, MD, Nikos Paraskevas, MD, Michele Bigorre, MD, Claudine Masonni, MD, Pierre Cerceau, MD, Francesca Toni, MD, Annouck Bisdorff, MD
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428722000806
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author Claude Laurian, MD
Nikos Paraskevas, MD
Michele Bigorre, MD
Claudine Masonni, MD
Pierre Cerceau, MD
Francesca Toni, MD
Annouck Bisdorff, MD
author_facet Claude Laurian, MD
Nikos Paraskevas, MD
Michele Bigorre, MD
Claudine Masonni, MD
Pierre Cerceau, MD
Francesca Toni, MD
Annouck Bisdorff, MD
author_sort Claude Laurian, MD
collection DOAJ
description For symptomatic buttock arteriovenous malformations (AVMs), embolization techniques and surgical resection have been suggested as treatment options. Our aim was to evaluate the feasibility and long-term results after a single surgical resection. Twelve patients had undergone surgical resection without preoperative embolization. Of the 12 patients, 11 had had incomplete procedures, 9 of whom had undergone arterial embolization 1 to 3 years previously. All the patients were symptomatic. Computed tomography scans showed AVMs located in the cellular spaces with preservation of the gluteal muscle. The median follow-up time was 80 months. On the last follow-up computed tomography scan, 67% had had no residual AVM. The use of preoperative embolization, especially with nonresorbable embolic material (Onyx; Medtronic, Dublin, Ireland), makes AVM resection and imaging follow-up more difficult because of artifacts and should be avoided.
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spelling doaj.art-23495e5f9f124ce49769991e6962fc732022-12-28T04:18:40ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-12-0184703707Surgical treatment of arteriovenous malformations of the buttockClaude Laurian, MD0Nikos Paraskevas, MD1Michele Bigorre, MD2Claudine Masonni, MD3Pierre Cerceau, MD4Francesca Toni, MD5Annouck Bisdorff, MD6Department of Vascular Surgery, Saint Joseph Hospital, Paris, France; Correspondence: Claude Laurian, MD, Department of Vascular Surgery, Saint Joseph Hospital, Paris, 189 rue R. Losserand, Paris 75014, FranceDepartment of Vascular Surgery, Bichat Hospital, Paris, FranceDepartment of Plastic Surgery, Arnaud de Villeneuve Hospital, Montpellier, FranceUltrasonography Center, Paris, FranceDepartment of Vascular Surgery, Bichat Hospital, Paris, FranceAlma Clinic, Paris, FranceDepartment of Neuroradiology, Lariboisère Hospital, Paris, FranceFor symptomatic buttock arteriovenous malformations (AVMs), embolization techniques and surgical resection have been suggested as treatment options. Our aim was to evaluate the feasibility and long-term results after a single surgical resection. Twelve patients had undergone surgical resection without preoperative embolization. Of the 12 patients, 11 had had incomplete procedures, 9 of whom had undergone arterial embolization 1 to 3 years previously. All the patients were symptomatic. Computed tomography scans showed AVMs located in the cellular spaces with preservation of the gluteal muscle. The median follow-up time was 80 months. On the last follow-up computed tomography scan, 67% had had no residual AVM. The use of preoperative embolization, especially with nonresorbable embolic material (Onyx; Medtronic, Dublin, Ireland), makes AVM resection and imaging follow-up more difficult because of artifacts and should be avoided.http://www.sciencedirect.com/science/article/pii/S2468428722000806Arteriovenous malformationEmbolizationGluteal areaSurgical resection
spellingShingle Claude Laurian, MD
Nikos Paraskevas, MD
Michele Bigorre, MD
Claudine Masonni, MD
Pierre Cerceau, MD
Francesca Toni, MD
Annouck Bisdorff, MD
Surgical treatment of arteriovenous malformations of the buttock
Journal of Vascular Surgery Cases and Innovative Techniques
Arteriovenous malformation
Embolization
Gluteal area
Surgical resection
title Surgical treatment of arteriovenous malformations of the buttock
title_full Surgical treatment of arteriovenous malformations of the buttock
title_fullStr Surgical treatment of arteriovenous malformations of the buttock
title_full_unstemmed Surgical treatment of arteriovenous malformations of the buttock
title_short Surgical treatment of arteriovenous malformations of the buttock
title_sort surgical treatment of arteriovenous malformations of the buttock
topic Arteriovenous malformation
Embolization
Gluteal area
Surgical resection
url http://www.sciencedirect.com/science/article/pii/S2468428722000806
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