title: Transarterial embolization of a high-flow maxillary arteriovenous malformation fed by multiple arteries.
abstract: A high-flow maxillary arteriovenous malformation fed by multiple arteries, including bilateral internal maxillary arteries and ophthalmic artery, is reported. A combination of polyvinyl alcohol particles and N-butyl-cyanoacrylate mixed with lipiodol was progressively deposited within the distal vascular bed by transarterial superselective embolization of the branches of bilateral internal maxillary arteries, resulting in complete anatomic and clinical cure. The authors feel that this approach is more secure and effective compared with transfemoral venous embolization and direct transosseous puncture. It also avoids mutilating surgery.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Second Hospital of Shandong University, Jinan, China.
authors.forename: Qing-Guo
authors.initials: QG
authors.lastname: Lai
authors.forename: Guo-Ju
authors.initials: GJ
authors.lastname: Li
authors.forename: Kui-Feng
authors.initials: KF
authors.lastname: Yuan
authors.forename: Xin
authors.initials: X
authors.lastname: Xu
authors.forename: Yong-Zheng
authors.initials: YZ
authors.lastname: Wang
authors.forename: Yu-Liang
authors.initials: YL
authors.lastname: Li
authors.forename: Zhong-Jun
authors.initials: ZJ
authors.lastname: Yang
authors.forename: Sheng-Lei
authors.initials: SL
authors.lastname: Luo
mesh_terms: D015901:Angiography, Digital Subtraction; D001165:Arteriovenous Malformations / Q000628:therapy*; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D004659:Enbucrilate / Q000008:administration & dosage / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007269:Injections, Intra-Arterial; D007459:Iodized Oil; D008437:Maxilla / Q000098:blood supply*; D008438:Maxillary Artery / Q000473:pathology; D009880:Ophthalmic Artery / Q000473:pathology; D006472:Oral Hemorrhage / Q000628:therapy; D011142:Polyvinyl Alcohol / Q000008:administration & dosage / Q000627:therapeutic use; D014014:Tissue Adhesives / Q000008:administration & dosage / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D003287:Contrast Media; D014014:Tissue Adhesives; D007459:Iodized Oil; D011142:Polyvinyl Alcohol; D004659:Enbucrilate