Bapuraj Jayapalli Rajiv, Bilwani Rakesh, Khandelwal Niranjan, Gupta Ashok Kumar, Nehru Vikas I, Suri Sudha
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh--160 012, India.
J Laryngol Otol. 2002 Jan;116(1):42-5. doi: 10.1258/0022215021910104.
Treatment of auricular arteriovenous fistula (AVF) is a challenge with surgery being the preferred option until now. We present three cases of auricular AVFs who underwent pre-operative embolization and its outcome on surgery. Three patients were diagnosed to have auricular AVF by angiography. All three patients underwent pre-operative embolization with n-butyl 2-cyanoacrylate after which they underwent surgical resection of the AVF. Pre-operative embolization resulted in significant devascularization of the AVF thus leading to near bloodless and clean surgery. Pre-operative embolization of auricular AVFs is a good treatment option, leading to significantly reduced blood loss during surgical excision.
耳动静脉瘘(AVF)的治疗是一项挑战,迄今为止手术是首选方案。我们介绍三例接受术前栓塞治疗的耳动静脉瘘患者及其手术结果。三名患者通过血管造影被诊断为耳动静脉瘘。所有三名患者均接受了用2-氰基丙烯酸正丁酯进行的术前栓塞,之后接受了耳动静脉瘘的手术切除。术前栓塞导致耳动静脉瘘显著去血管化,从而实现近乎无血且干净的手术。耳动静脉瘘的术前栓塞是一种很好的治疗选择,可显著减少手术切除期间的失血量。