Murase S, Kaku Y, Yamada J, Nokura H, Miwa Y, Ohkuma A, Yamada H
Department of Neurosurgery, Prefectural Gifu Hospital.
No Shinkei Geka. 1995 Aug;23(8):733-8.
Arteriovenous malformations (AVMs) of the face are notoriously difficult lesions to manage because of the abundant vascular network in this region. We report three cases in which AVMs of the face were treated with endovascular embolization. Two cases with small AVM of the face and auricle were treated with direct puncture of the nidus and embolization with a small amount of n-butyl-cyanoacrylate (NBCA). In the third patient with a large AVM of the cheek, the external carotid artery (ECA) of which had been previously ligated surgically, percutaneous direct puncture of the ECA was performed. Superselective catheterization of each of the feeding arteries and embolization with a small amount of NBCA was then achieved. All cases demonstrated clinical and angiographical improvement. In two cases with a small AVM of the face and auricle, complete obstruction of the nidus was achieved. Direct puncture of the nidus and embolization with a small amount of NBCA was a safe and effective technique for the treatment of facial AVM.
由于面部血管网络丰富，面部动静脉畸形（AVM）是出了名的难以处理的病变。我们报告了3例面部AVM接受血管内栓塞治疗的病例。2例面部和耳廓小AVM患者通过直接穿刺病灶并使用少量正丁基氰基丙烯酸酯（NBCA）进行栓塞治疗。第3例脸颊大AVM患者，其颈外动脉（ECA）先前已接受外科结扎，遂对ECA进行经皮直接穿刺。随后对各供血动脉进行超选择性插管，并使用少量NBCA进行栓塞。所有病例均显示出临床和血管造影改善。在2例面部和耳廓小AVM患者中，病灶实现了完全阻塞。直接穿刺病灶并使用少量NBCA进行栓塞是治疗面部AVM的一种安全有效的技术。
