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Treatment of mandibular arteriovenous malformation by transvenous embolization: A case report
Author(s) -
Kiyosue Hiro,
Mori Hiromu,
Hori Yuzo,
Okahara Mika,
Kawano Kenji,
Mizuki Harumi
Publication year - 1999
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/(sici)1097-0347(199909)21:6<574::aid-hed12>3.0.co;2-d
Subject(s) - medicine , embolization , arteriovenous malformation , radiology , mandible (arthropod mouthpart) , cyanoacrylate , angiography , surgery , chemistry , botany , adhesive , organic chemistry , layer (electronics) , biology , genus
Background Arteriovenous malformations (AVMs) of the mandible are relatively rare and potentially life‐threatening lesions. Treatment is usually difficult. This study presents a case with high‐flow AVM of the mandible in which most of the AVM were occluded by transvenous coil embolization. Methods Transvenous embolization using several size 57 microcoils and 3 Gianturco coils was performed through a right femoral vein access. The small residual AVM was occluded by superselective transarterial injection of cyanoacrylate. Results Angiography after embolization showed almost complete obliteration of AVM. Panoramic radiograph 2 years after treatment confirmed reossification. There was no recurrence of the symptoms in a follow‐up evaluation 2 years later. Conclusion Transvenous coil embolization may be a safer and more effective method in the treatment of mandibular AVM. © 1999 John Wiley & Sons, Inc. Head Neck 21: 574–577, 1999.