Peripheral Arteriovenous Malformation Embolization Using Squid

Figure 2

A 30-year-old female presented with a painful lump on the dorsum of her right foot which had been present for several years. In the past several months, it had become increasingly painful, and now, she walked with a slight limp. (A) Selective right foot angiogram showing shunting and rapid egress of contrast from the arteriovenous malformation through the anterior tibial artery and posterior tibial artery. (B, C) Superselective angiogram with microcatheter. (D) Superselective angiogram with microcatheter showing residual flow from posterior tibial artery. (E) Postembolization digital subtraction angiogram shows complete occlusion of the AVM with normal perfusion of the foot. (F) Therapeutic embolization, static fluoroscopic image shows squid filling the lesion.