Arterial Interventions and Peripheral Arterial Disease (PAD)
Wayne Yakes, MD
The Yakes Vascular Malformation Center
Disclosure(s): No financial relationships to disclose
A JVIR report of shoulder AVM endovascular repair documented total failure of the current approaches even when coupled with shoulder quadrant amputation whereby recurrence was universal. These authors stated that shoulder AVMs were not possible to treat. This report documents that cure of these difficult lesions is possible with ethanol endovascular approaches and direct puncture approaches. No other publications in the world literature documents cure of AVMs in this anatomy consistently.
Long-term cures are noted with the use of ethanol, and ethanol and coils to successfully treat these complex, problematic lesions. A low major complication rate is noted. This patient series finally documents a curative procedure for this daunting lesion.