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Case Reports in Vascular Medicine
Volume 2014 (2014), Article ID 972870, 5 pages
http://dx.doi.org/10.1155/2014/972870
Case Report

Concomitant Transarterial and Transvenous Embolization of a Pelvic Arteriovenous Malformation Using a New Liquid Embolic Agent, Squid-12 and Detachable Coils

1Department of Radiology, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, 34147 Istanbul, Turkey
2Department of Cardiovascular Surgery, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, 34147 Istanbul, Turkey

Received 27 May 2014; Accepted 16 July 2014; Published 7 August 2014

Academic Editor: Konstantinos A. Filis

Copyright © 2014 Aysun Erbahceci Salik et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe a complex congenital pelvic AVM with multiple feeding arteries arising from the side branches of the right internal iliac artery and a single draining vein in a male patient. Concomitant transarterial and transvenous embolization with a new liquid embolic agent Squid-12 and metallic coils enabled a complete embolization at a single session. Squid-12 is composed of ethylene vinyl alcohol copolymers and its lower viscosity makes it a promising agent for the treatment of AVMs. The patient showed prompt resolution of the symptoms and complete devascularization of the AVM lesion was persisted on the 1-month control angiography. The patient was asymptomatic on the 6th month follow-up.