Pre-operative embolization of auricular arteriovenous fistula.
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.
Bapuraj
Jayapalli Rajiv
JR
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh--160 012, India. bapuraj@sancharnet.in
Bilwani
Rakesh
R
Khandelwal
Niranjan
N
Gupta
Ashok Kumar
AK
Nehru
Vikas I
VI
Suri
Sudha
S
D000328:Adult; D001164:Arteriovenous Fistula / Q000628:therapy*; D004423:Ear / Q000098:blood supply*; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000031:analogs & derivatives* / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D011300:Preoperative Care; D014014:Tissue Adhesives / Q000627:therapeutic use*
D014014:Tissue Adhesives; D004659:Enbucrilate