Torrential Bleeding of Arteriovenous Malformation in Hand Post-ethanol Sclerotherapy: A Case Report
Overview
Affiliations
Embolization or sclerotherapy is considered as the first-line therapy for the management of arteriovenous malformations (AVM) and can be performed directly targeting the nidus. Ethanol is an effective embolic agent; however, some complications may arise. This paper illustrates a case of torrential bleeding following ethanol sclerotherapy in a patient with progressive hand arteriovenous malformations with a poor prognosis and was suggested to be amputated. Direct pressure, tourniquet appliance, and split-thickness skin graft procedure were performed to stop the bleeding successfully. No recurrence of bleeding was reported; and complete alleviation of pain was achieved.
Gennaro P, Cioni S, Bracco S, Cascino F, Latini L, Abbagnato M J Pers Med. 2023; 13(5).
PMID: 37240927 PMC: 10219372. DOI: 10.3390/jpm13050757.