Embolization of arteriovenous malformation in infrapatellar arteries using the plug and push technique

Background: Arteriovenous malformations (AVMs) characterized as high-flow, progressive anomalies without spontaneous regression, represent up to 20% of congenital vascular malformations. Peripheral AVMs are uncommon and present a wide range of symptoms. Diagnosis is generally made in adulthood by physical examination associated with angiography, though it may include magnetic resonance angiography and computed tomography angiography. Therapy depends on the stage of the AVM however no gold standard has been established yet. Treatment can be conservative, by sclerotherapy, transarterial embolization, or, in extreme cases, amputation. Objective: The objective of this report is to present the endovascular approach to an AVM in the lower limb. Case presentation: This case report describes the conduct adopted in a young patient with a peripheral AVM in a lower limb, highlighting its successful embolization employing the Plug and Push technique with tissue glue and coils. The postoperative evolution was favorable, stressing the importance of early diagnosis and adequate monitoring by an experienced team. Conclusion: This study contributes to future therapeutic approaches in similar cases, emphasizing the need for individualized strategies.