Yamaki T, Yoshino E, Uchibori M, Odake G, Hirakawa K
No Shinkei Geka. 1982 Sep;10(9):991-5.
Two cases of the extracranial arteriovenous malformation (AVM) were treated by intra-arterial injection of cyanoacrylate (Aron alpha A). The first case was a 31-year-old man who had an AVM in the left temporal muscle. At operation, the feeders, the left anterior and posterior deep temporal arteries, were exposed and Aron alpha A was injected into these feeders. The pulsation of the AVM disappeared and the AVM became a hard mass. The mass was totally removed with remarkably little amount of bleeding. No complication was noted. The second case was a 23-year-old man who had an AVM in the scalp, and its feeder was the left occipital artery. The treatment was done in the same manner as in the first case. After operation the regional scalp became necrotic, but the epithelialization was completed in 3 weeks. No signs of recurrence of AVM were noted 20th and 21th month after operation in each of the cases. The recent literature were briefly reviewed.
两例颅外动静脉畸形(AVM)通过动脉内注射氰基丙烯酸酯(Aron alpha A)进行治疗。第一例是一名31岁男性,其左侧颞肌有一个AVM。手术时,暴露供血动脉,即左侧颞深前、后动脉,并向这些供血动脉注射Aron alpha A。AVM的搏动消失,AVM变成一个硬块。该肿块被完全切除,出血量极少。未发现并发症。第二例是一名23岁男性,头皮有一个AVM,其供血动脉是左侧枕动脉。治疗方式与第一例相同。术后局部头皮坏死,但3周后上皮化完成。两例患者术后第20个月和第21个月均未发现AVM复发迹象。对近期文献进行了简要综述。