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Treatment of mandibular arteriovenous malformation by transvenous embolization: A case report

Treatment of mandibular arteriovenous malformation by transvenous embolization: A case report

Head & Neck 21(6): 574-577

Background. Arteriovenous malformations (AVMs) of the mandible are relatively rare and potentially life-threatening lesions. Treatment is usually difficult. This study presents a case with high-flow AVM of the mandible in which most of the AVM were occluded by transvenous coil embolization. Methods. Transvenous embolization using several size 57 microcoils and 3 Gianturco coils was performed through a right femoral vein access. The small residual AVM was occluded by superselective transarterial injection of cyanoacrylate. Results. Angiography after embolization showed almost complete obliteration of AVM. Panoramic radiograph 2 years after treatment confirmed reossification. There was no recurrence of the symptoms in a follow-up evaluation 2 years later. Conclusion. Transvenous coil embolization may be a safer and more effective method in the treatment of mandibular AVM.

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Accession: 011592298

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PMID: 10449675

DOI: 10.1002/(sici)1097-0347(199909)21:6<574::aid-hed12>3.0.co;2-d

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