{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T21:41:05Z","timestamp":1789854065429,"version":"4.0.1"},"reference-count":10,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    A pulmonary arteriovenous malformation (PAVM) is an abnormal connection between the pulmonary arterial and venous systems, resulting in a pathologic right-to-left shunt. PAVMs worsen during pregnancy due to physiologic changes, yet no treatment guidelines exist for newly diagnosed PAVMs in pregnancy.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Case:<\/jats:bold>\n                    We report a case of a previously asymptomatic 19-year-old G1 who was incidentally found to have a low oxygen saturation during routine prenatal care at 34 5\/7\u00a0weeks of gestation. She was diagnosed with a complex, left-sided PAVM. Through the close collaboration of the interventional radiology and high-risk obstetric teams, antenatal embolization was successfully performed, allowing for the prolongation of pregnancy. The patient experienced spontaneous rupture of membranes at 36 1\/7\u00a0weeks and underwent a successful Cesarean delivery at this time.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Embolization of a complex PAVM in the third trimester of pregnancy was successfully and safely achieved by a skilled multidisciplinary team. In comparable clinical scenarios, clinicians should carefully assess maternal and fetal risks\u2014such as neonatal prematurity, radiation exposure, and PAVM-related complications\u2014to guide optimal management.\n                  <\/jats:p>","DOI":"10.1177\/15385744251375349","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T12:14:52Z","timestamp":1756728892000},"page":"50-54","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Successful Antenatal Embolization of a Complex Pulmonary Arteriovenous Malformation in the Third Trimester of Pregnancy: A Case Report"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3647-991X","authenticated-orcid":false,"given":"Susan","family":"Fields","sequence":"first","affiliation":[{"name":"Medical College of Georgia at Augusta University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Pigg","sequence":"additional","affiliation":[{"name":"Medical College of Georgia at Augusta University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Navitski","sequence":"additional","affiliation":[{"name":"Medical College of Georgia at Augusta University"},{"name":"Wellstar Medical College of Georgia Health Department of Obstetrics and Gynecology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shauna","family":"Summers","sequence":"additional","affiliation":[{"name":"Medical College of Georgia at Augusta University"},{"name":"Wellstar Medical College of Georgia Health Department of Obstetrics and Gynecology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Freedman","sequence":"additional","affiliation":[{"name":"Medical College of Georgia at Augusta University"},{"name":"Wellstar Medical College of Georgia Health Department of Interventional Radiology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6942-2074","authenticated-orcid":false,"given":"Padmashree","family":"Woodham","sequence":"additional","affiliation":[{"name":"Medical College of Georgia at Augusta University"},{"name":"Wellstar Medical College of Georgia Health Department of Obstetrics and Gynecology"},{"name":"Wellstar Medical College of Georgia Health Department of Maternal-Fetal Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9]]},"reference":[{"key":"e_1_3_6_2_2","volume-title":"Statpearls [Internet]","author":"Singh H","year":"2025","unstructured":"Singh H, Khan YS. Pulmonary arteriovenous malformation (AVMs) (archived) [updated 2024 mar 1]. In: Statpearls [Internet]. Treasure Island (FL). StatPearls Publishing; 2025. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK559289\/"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9061927"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(96)70851-5"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.89.6.2673"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.89.3.459"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202402-0271IM"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.2.470"},{"key":"e_1_3_6_9_2","unstructured":"Center for Disease Control and Prevention. Radiation and pregnancy: information for clinicians. 2024. https:\/\/www.cdc.gov\/radiation-emergencies\/hcp\/clinical-guidance\/pregnancy.html"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.158.2.9711041"},{"issue":"2","key":"e_1_3_6_11_2","first-page":"arsr.2012.12000","article-title":"Embolization of pulmonary AVMs of feeding arteries less than 3 mm: reports of two cases and an 8-year follow-up without embolization","volume":"1","author":"Andersen PE","year":"2012","unstructured":"Andersen PE, Kjeldsen AD. Embolization of pulmonary AVMs of feeding arteries less than 3 mm: reports of two cases and an 8-year follow-up without embolization. Acta Radiol Short Rep. 2012;1(2):arsr.2012.120001. Published 2012 Mar 29.","journal-title":"Acta Radiol Short Rep"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15385744251375349","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15385744251375349","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15385744251375349","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:36:18Z","timestamp":1777703778000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15385744251375349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/15385744251375349"],"URL":"https:\/\/doi.org\/10.1177\/15385744251375349","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]}}}