Value of direct percutaneous puncture in the AMV treatment

Bui Van Giang1, Nguyen Tran Canh2, Le Thanh Dung2,
1 Saint Paul Hospital
2 Viet Duc Hospital

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Abstract

SUMMARY


Purpose: We present our experience in four cases using embolization technic by percutaneous direct puncture and injection of n-Butyl-2 Cyanoacrylate to embolize high flow fistula arteriovenous malformations having multiple feeding arteries.
Materials and methods: 3 patients with high flow arteriovenous malformations (AVMs) of the head, neck region and one patient’s
AVM in arm were treated with direct percutaneous injections of
Histoacryl.
Results: There were no major complications after the embolization procedure. The arteriovenous shunts were completely eliminated in three cases. The embolization was incomplete in one patient who required a surgical procedure to remove the residual AVM lesion and also for esthetic reason.
Conclusion: Embolization by percutaneous direct puncture with n-BCA injection appears to be a good treatment for the high flow arteriovenous malformations having multiple feeding arteries
and large nidus.

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References

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