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Updated: Sep 30, 2026
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Direct-puncture embolization of intraosseous arteriovenous malformation of jaws
Xindong Fan1, Zhiyuan Zhang, Chenping Zhang
1Department of Radiology, Ninth People's Hospital, Shanghai Second Medical University, Shanghai, People's Republic of China. fanxindong@yahoo.com.cn
Purpose:
Our goal was to report our experience with direct-puncture embolization of intraosseous arteriovenous malformations (AVMs).
Patients And Methods:
Three cases of AVM in the mandible and 2 cases of AVM in the maxilla comprised this study group. The patients were embolized with fiber coils through direct puncture, and the coils were placed directly into the center of the intraosseous lesion, in some cases in conjunction with polyvinyl alcohol foam and N-butyl-2-cyanoacrylate through vascular access.
Results:
The acute arterial bleeding was controllable in 3 patients. The other 2 patients had pericoronal oozing bleeding and a warm soft pulsative mass on the left face, respectively; their symptoms and signs improved greatly. The pericoronal oozing of blood in all patients disappeared during a 3- to 13-month follow-up, and new bone formation was found on the follow-up radiography.
Conclusions:
The embolization of the AVM of jaws by direct percutaneous puncture in conjunction with endovascular therapy is effective and safe, but longer follow-up is required to determine the true efficacy of this method of treatment.
