YAMAKI Takashi    Department   School of Medicine(Tokyo Women's Medical University Adachi Medical Center), School of Medicine    Position   Professor
Article types	Original article
Language	English
Peer review	Peer reviewed
Title	Successful management of a giant arteriovenous fistula with a combination of selective embolization and excision: report of a case.
Journal	Formal name：Surgery today Abbreviation：Surg Today ISSN code：0941-1291(Print)0941-1291(Linking)
Volume, Issue, Page	32(2),pp.189-93
Author and coauthor	Sakurai yuki, Nozaki Motohiro, Sasaki Kenji, Yamaki Takasi, Aiba Hinako, Tohda Joh, Umezu Shoichi
Authorship	Corresponding author
Publication date	2002/04
Summary	We experienced a female patient with a giant arteriovenous fistula in her lumbar region, which was successfully managed by a combination of selective embolization and a subsequent total excision. Embolization of the giant arteriovenous malformation resulted in an immediate decrease in the cardiac output and an increase in systemic vascular resistance. Three days after the embolization, a total resection of the lesion was achieved under general anesthesia, with a minimum amount of blood loss. The large skin defect after a total excision of the cutaneous lesion was covered with bilateral latissimus dorsi musculocutaneous flaps.
Document No.	11998954