经静脉栓塞治疗下颌动静脉畸形：一例报告。
Treatment of mandibular arteriovenous malformation by transvenous embolization: A case report.
作者信息
Kiyosue H, Mori H, Hori Y, Okahara M, Kawano K, Mizuki H
机构信息
Department of Radiology, Oita Medical University, 1-1 Hasama, Oita, Japan.
出版信息
Head Neck. 1999 Sep;21(6):574-7. doi: 10.1002/(sici)1097-0347(199909)21:6<574::aid-hed12>3.0.co;2-d.
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.
背景
下颌骨动静脉畸形（AVM）相对罕见且可能危及生命，治疗通常较为困难。本研究报告了一例下颌骨高流量AVM病例，其中大部分AVM通过经静脉弹簧圈栓塞得以闭塞。
方法
通过右股静脉入路，使用多个57号微弹簧圈和3个Gianturco弹簧圈进行经静脉栓塞。通过超选择性经动脉注射氰基丙烯酸酯闭塞小的残余AVM。
结果
栓塞后血管造影显示AVM几乎完全闭塞。治疗2年后的全景X线片证实有骨再生。2年后的随访评估中症状无复发。
结论
经静脉弹簧圈栓塞可能是治疗下颌骨AVM更安全、有效的方法。
Zotero 插件