PMC5660789_01
Computed tomography of chest showing multiple PAVMs in right and left lobes (a). T1 weighted postcontrast cerebral MRI showing 4.7 x 3.9 x 5.5 cm ring enhancing lesion located in the right parietal lobe with surrounding edema (b).
CRIPU2017-8274981.001.jpg
PMC5660789_01_CRIPU2017-8274981.001.jpg
fig1
A magnetic resonance image of the brain showed a cerebral lesion, highly suspicious of cerebral abscess (Figure 1).
Fluoroscopic image showing deployment of Micro Vascular Plugs through a microcatheter adjacent to an Amplatzer Vascular Plug 4 (a). Fluoroscopic image showing deployment of Amplatzer Vascular Plug 4 through a 4-F 0.037 in catheter (b).
CRIPU2017-8274981.002.jpg
PMC5660789_01_CRIPU2017-8274981.002.jpg
fig2
Amplatzer Vascular Plugs 4 and Micro Vascular Plug System (Figure 2). A significant decrease in orthodeoxia was achieved (Table 1).
Pulmonary angiogram showing multiple right PAVMs before endovascular closure (a). Pulmonary angiogram showing successful endovascular closure of multiple right PAVMs with subsequent decrease in shunting (b).
CRIPU2017-8274981.003.jpg
PMC5660789_01_CRIPU2017-8274981.003.jpg
fig3
No peripheral cyanosis was noted, and imaging tests after PAVMs closure revealed considerable improvement (Figure 3).