New Arteriographic Classification of AVM Based on the Yakes Classification System

Yakes, Wayne F.; Vogelzang, Robert L.; Ivancev, Krasnodar; Yakes, Alexis M.

doi:10.1007/978-3-662-46709-1_11

Cited by 20 publications

(28 citation statements)

References 8 publications

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“…8 Classification schemes, such as those championed by Yakes and Houdart, therefore, remain essential component of therapeutic strategies (Table ). 9,10 It is essential to highlight that superselective, third and fourth order, branch microcatheterization is neededdwith microcatheters as low profile as 1.6Fdfor adequate terminal access of the nidus such that premature and proximal nontarget embolization is avoided. With certain anatomic constraints, however, in which direct intranidal microcatheter access might not be feasible or safe, these "liquid metal" coils can be advanced antegradely to penetrate the nidus from a more proximal location, given their low resistance to flow and premature coiling on exiting from the microcatheter tip.…”

Section: Discussionmentioning

confidence: 99%

Superselective intranidal delivery of platinum-based high-density packing coils for treatment of arteriovenous malformations

Bellamkonda¹,

Fereydooni²,

Trott³

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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Arteriovenous malformations (AVMs) classically feature an intervening nidus of poorly differentiated endothelium. The pillar of modern AVM treatment is intranidal delivery and deposition of various liquid embolic agents such as n-butyl cyanoacrylate, ethylene vinyl alcohol copolymer, and ethanol. These agents are cumbersome to prepare, deliver, and deploy and have been associated with complications related to limited delivery control, nonretrievability, frequent microcatheter exchanges, and nontarget embolization. Coils and other proximal occlusive agents have not been traditionally recommended as sole embolic agents for AVM treatment given the inherent lack of adequate AVM nidus penetration with previous coil technologies. In the present report, we have described a series of three patients with AVMs in whom newer generation, platinum-based, packing coils were used safely and effectively as the primary agent for superselective nidal penetration and embolization.

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Section: Discussionmentioning

confidence: 99%

Superselective intranidal delivery of platinum-based high-density packing coils for treatment of arteriovenous malformations

Bellamkonda¹,

Fereydooni²,

Trott³

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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show abstract

“…Reports describing fulminant myocarditis confirmed at autopsy by the presence of inflammatory, mononuclear infiltrates, and even the virus itself as shown in an Italian patient with cardiogenic shock 23 remind us that the heart, and not just the lung, is a target [23][24][25][26] . ACE-2 receptors are also present in other organs and systems, including kidneys, eyes, gut, liver, vasculature and central nervous system that might attract inflammatory cytokines and multiorgan failure 27 .…”

Section: Impending Storm Aheadmentioning

confidence: 97%

Untitled

2020

RACI

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“…Paciente de sexo masculino de 43 años, deportista (ciclista), de la ciudad de Paraná (Entre Ríos), sin antecedentes clí- 26 Tipo I, fístula arteriovenosa directa. Es una conexión directa de arteria a vena.…”

Section: Caso Clínicounclassified

Manejo endovascular en pacientes con malformación vascular renal: revisión de la literatura y la experiencia de 2 casos

LLahyah¹,

Ortiz²

2020

RACI

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Las malformaciones arteriovenosas (MAV) renales son alteraciones poco comunes que consisten en comunicaciones anómalas entre el sistema arterial y venoso intrarrenal. En su presentación clínica, predominan la hematuria y la hipertensión, observándose deterioro cardíaco o pulmonar en un 5% de los casos. La hematuria es un motivo de consulta frecuente en los servicios de urgencias; sin embargo, en algunas oportunidades esta no recibe la atención que merece y se corre el riesgo de pasar por alto algunas patologías de importancia. La potencial posibilidad de ofrecer un tratamiento curativo hace muy importante su diagnóstico, permitiendo modificar el curso natural de la patología. La arquitectura vascular heterogénea de cada MAV determina las técnicas de tratamiento endovascular a emplear. La hematuria macroscópica súbita y anemizante debe ser estudiada con detalle puesto que puede comprometer la vida. La realización de procedimientos mínimamente invasivos permite a los pacientes preservar su función renal con mínimas complicaciones y les evita procedimientos más agresivos como la heminefrectomía. Reportamos nuestra experiencia con el tratamiento endovascular de 2 casos. El primero es el caso de un paciente varón de 43 años, deportista, y el otro es de un mujer de 28 años, ambos sin antecedentes clínicos de importancia previos y con hematuria macroscópica asociada a coágulos que requirieron embolización selectiva como tratamiento.

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New Arteriographic Classification of AVM Based on the Yakes Classification System

Cited by 20 publications

References 8 publications

Superselective intranidal delivery of platinum-based high-density packing coils for treatment of arteriovenous malformations

Superselective intranidal delivery of platinum-based high-density packing coils for treatment of arteriovenous malformations

Untitled

Manejo endovascular en pacientes con malformación vascular renal: revisión de la literatura y la experiencia de 2 casos

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