Non-HHT Arteriovenous Malformation Epistaxis: Successful Embolization in Young Patient—Case Report

Aviad Sapir, Sofia Kordeluk, Anat Horev, Oren Ziv
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Abstract

We present a case of non-hereditary hemorrhagic telangiectasia (HHT) arteriovenous malformation (AVM) epistaxis in a young healthy patient, causing life-threatening bleeding with successful embolization. We report a case of a 33-year-old healthy male with massive epistaxis. A noninvasive intervention failed to treat the bleeding. Following procedure with electronic cauterization was not sufficient. At last, after a multidisciplinary Concilium, diagnostic catheterization of an AVM with embolization was successfully done. The case highlights an unusual AVM that causes epistaxis and a possible collaborative multidisciplinary management.

Abstract Image

非 HHT 动静脉畸形鼻衄:年轻患者的成功栓塞--病例报告
我们报告了一例年轻健康患者非遗传性出血性毛细血管扩张症(HHT)动静脉畸形(AVM)鼻衄的病例,患者大出血危及生命,但栓塞成功。我们报告了一例 33 岁健康男性大面积鼻衄的病例。非侵入性干预未能治疗出血。随后的电子烧灼术也无济于事。最后,在多学科会诊后,成功地进行了动静脉畸形诊断性导管插入术和栓塞术。该病例强调了导致鼻衄的不寻常 AVM 以及多学科协作治疗的可能性。
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