title: Direct puncture of large arteriovenous malformations in head and neck for embolisation and subsequent reconstructive surgery.
abstract: Five patients with large arteriovenous malformations (AVM) of the head and neck, which were too large or inconveniently placed for operation alone, were treated by embolisation after direct puncture; two of them were subsequently operated upon. They all recovered without complications. Embolisation of the nidus and subsequent operation is a good alternative for the treatment of large AVM. Ligating the supplying arteries is not a treatment. If the arterial routes to the nidus have previously been closed by ligatures selective catheterisation is impossible, though direct puncture of the nidus is a possibility. The nidus of the AVM can then be obliterated by embolisation either as a treatment, or as a preoperative procedure.
authors.affiliation: Department of Interventional Neuroradiology, Sahlgrenska Hospital, Göteborg, Sweden.
authors.forename: P A
authors.initials: PA
authors.lastname: Svendsen
authors.forename: G
authors.initials: G
authors.lastname: Wikholm
authors.forename: I
authors.initials: I
authors.lastname: Fogdestam
authors.forename: M
authors.initials: M
authors.lastname: Anniko
authors.forename: L
authors.initials: L
authors.lastname: Mendel
mesh_terms: D000328:Adult; D001165:Arteriovenous Malformations / Q000601:surgery / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006257:Head; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck; D011677:Punctures