Naidu Vishnu, Quddus Ayyaz, Khurram Ruhaid, Karia Priyesh, Brookes Jocelyn
Royal Free Hospital NHS Trust.
Radiol Case Rep. 2021 Jun 12;16(8):2202-2206. doi: 10.1016/j.radcr.2021.05.027. eCollection 2021 Aug.
Head and neck arteriovenous malformations are the commonest extracranial vascular malformations but demonstrate a unique challenge in the limited available surgical options secondary to their intimate association to vital structures. We present a case of middle-aged female patient who presented with threatened upper-airway obstruction and bleeding secondary to a slowly enlarging parapharyngeal arteriovenous malformations. She was treated with an endovascular-only approach with the proximal arteriole branches selectively undergoing embolo-sclerotherapy with an optimal radiological and clinical outcome. We also demonstrate the utility of elective tracheostomy prior to intervention.
头颈部动静脉畸形是最常见的颅外血管畸形，但由于其与重要结构紧密相连，可供选择的手术方案有限，这给治疗带来了独特的挑战。我们报告一例中年女性患者，因咽旁动静脉畸形缓慢扩大，出现上呼吸道梗阻和出血。我们采用单纯血管内治疗方法，对近端小动脉分支进行选择性栓塞硬化治疗，取得了理想的影像学和临床效果。我们还展示了干预前选择性气管切开术的作用。
