Contrast agent induced obliteration of a spinal arteriovenous malformation

AJNR Am J Neuroradiol. 2012 Jan;33(1):E1-3. doi: 10.3174/ajnr.A2436. Epub 2011 Mar 10.

Abstract

We present a patient undergoing spinal angiography and suspected of having an AVM. During the first injection of nonionic contrast, a nidal AVM supplied by the great anterior radiculomedullary artery at T9 left was found. The second injection at T9 left no longer showed the contrast filling of the AVM. Follow-up angiography showed persistent AVM obliteration with an intact arterial spinal axis. The patient's symptoms resolved. Interaction between nonionic contrast, blood, and vessel wall most likely induced the obliteration.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arteriovenous Malformations / diagnostic imaging
  • Arteriovenous Malformations / drug therapy*
  • Central Nervous System Vascular Malformations / diagnostic imaging
  • Central Nervous System Vascular Malformations / drug therapy*
  • Contrast Media / therapeutic use*
  • Fibrinolytic Agents / therapeutic use
  • Humans
  • Iohexol / therapeutic use*
  • Male
  • Radiography
  • Thrombolytic Therapy / methods*
  • Treatment Outcome

Substances

  • Contrast Media
  • Fibrinolytic Agents
  • Iohexol