Article Sidebar
Views PDF: 63
Value of direct percutaneous puncture in the AMV treatment
Main Article Content
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.
Article Details
References
1. Wassef, M., et al., [Vascular tumours and malformations, classification, pathology and imaging]. Ann Chir Plast Esthet, 2006. 51(4-5): p. 263-81.
2. Mulliken, J.B. and J. Glowacki, Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast
Reconstr Surg, 1982. 69(3): p. 412-22.
3. Ryu, C.W., et al., Percutaneous direct puncture glue embolization of high-flow craniofacial arteriovenous lesions: a new circular ring compression device with a
beveled edge. AJNR Am J Neuroradiol, 2007. 28 (3): p. 528-30.
4. Noreau, G., P.P. Landry, and D. Morais, Arteriovenous malformation of the mandible: review of literature and case history. J Can Dent Assoc, 2001. 67 (11): p. 646-51.
5. Arat, A., et al., Embolization of high-flow craniofacial vascular malformations with onyx. AJNR Am J Neuroradiol, 2007. 28 (7): p. 1409-14.