Endovascular embolization of a muscular symptomatic arteriovenous malformation with Glubran 2 acrylic glue

Abstract

Objective

Few cases of muscle arteriovenous malformations have been reported in literature to date.

Case report

We report the case of a 32-year-old man presenting a muscle arteriovenous malformation involving the vastus lateralis muscle with recurrent episodes of pain. The patient was treated by transcatheter embolization with Glubran 2 acrylic glue. There were no periprocedural or subsequent clinical complications, the glue resulted in successful selective occlusion and the patient showed resolution of symptoms at the six-months follow-up.

Conclusions

Endovascular therapy has been shown to be beneficial in patients with high surgical risks and is the treatment of choice for arteriovenous malformation lesions that extend beyond the deep fascia and involve muscle, tendon, and bone. Glubran 2 constitutes a useful tool to attempt embolization of the muscle arteriovenous malformation nidus, with easier handling and promising results.

Keywords

Vascular malformations arteriovenous embolotherapy endovascular treatment

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