Transarterial embolization of a high-flow maxillary arteriovenous malformation fed by multiple arteries

A high-flow maxillary arteriovenous malformation fed by multiple arteries, including bilateral internal maxillary arteries and ophthalmic artery, is reported. A combination of polyvinyl alcohol particles and N-butyl-cyanoacrylate mixed with lipiodol was progressively deposited within the distal vasc...

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Published in:Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 2009-07, Vol.108 (1), p.e17-e21
Main Authors: Lai, Qing-Guo, DMD, Li, Guo-Ju, DMD, Yuan, Kui-Feng, DMD, Xu, Xin, PhD, Wang, Yong-Zheng, DMD, Li, Yu-Liang, DMD, Yang, Zhong-Jun, DMD, Luo, Sheng-Lei, DMD
Format: Article
Language:English
Subjects:
Angiography, Digital Subtraction
Arteriovenous Malformations - therapy
Contrast Media
Embolization, Therapeutic - instrumentation
Embolization, Therapeutic - methods
Enbucrilate - administration & dosage
Enbucrilate - therapeutic use
Female
Humans
Injections, Intra-Arterial
Iodized Oil
Maxilla - blood supply
Maxillary Artery - pathology
Ophthalmic Artery - pathology
Oral Hemorrhage - therapy
Polyvinyl Alcohol - administration & dosage
Polyvinyl Alcohol - therapeutic use
Surgery
Tissue Adhesives - administration & dosage
Tissue Adhesives - therapeutic use
Young Adult
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Summary:A high-flow maxillary arteriovenous malformation fed by multiple arteries, including bilateral internal maxillary arteries and ophthalmic artery, is reported. A combination of polyvinyl alcohol particles and N-butyl-cyanoacrylate mixed with lipiodol was progressively deposited within the distal vascular bed by transarterial superselective embolization of the branches of bilateral internal maxillary arteries, resulting in complete anatomic and clinical cure. The authors feel that this approach is more secure and effective compared with transfemoral venous embolization and direct transosseous puncture. It also avoids mutilating surgery.
ISSN:1079-2104
1528-395X
DOI:10.1016/j.tripleo.2009.03.015