Transarterial embolization of a high-flow maxillary arteriovenous malformation fed by multiple arteries.
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.
Lai
Qing-Guo
QG
Department of Oral and Maxillofacial Surgery, Second Hospital of Shandong University, Jinan, China.
Li
Guo-Ju
GJ
Yuan
Kui-Feng
KF
Xu
Xin
X
Wang
Yong-Zheng
YZ
Li
Yu-Liang
YL
Yang
Zhong-Jun
ZJ
Luo
Sheng-Lei
SL
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
D003287:Contrast Media; D014014:Tissue Adhesives; D007459:Iodized Oil; D011142:Polyvinyl Alcohol; D004659:Enbucrilate