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[Interventional radiologic therapy for arteriovenous malformations in the face]
Chuan-bo Feng1, Yong Chen, Jian-hua Cao
1Department of Plastic Surgery, Nanfan Hospital, First Military Medical University, Guangzhou 510515, China.
Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery
|March 10, 2004
Summary
Transarterial interventional embolization effectively treats facial arteriovenous malformations (AVM). This minimally invasive technique reduces bleeding during surgery, offering a new treatment option for AVM patients.
Area of Science:
- Interventional Radiology
- Vascular Surgery
Background:
- Arteriovenous malformations (AVM) present unique challenges in facial reconstruction.
- Surgical resection of facial AVMs can be associated with significant hemorrhage.
Purpose of the Study:
- To introduce and evaluate transarterial interventional embolization for treating facial arteriovenous malformations (AVM).
Main Methods:
- The study involved 17 patients treated with transarterial interventional embolization from April 1998.
- Seldinger's maneuver was employed for vascular access.
- Treatment included embolization alone (11 cases) or combined with surgical resection (6 cases).
Main Results:
- Transarterial interventional embolization demonstrated effectiveness in all 17 cases, confirmed by immediate angiography.
- Patients experienced gradual relief of clinical symptoms post-treatment.
- Preoperative embolization significantly reduced intraoperative hemorrhage during subsequent surgical resection.
Conclusions:
- Transarterial interventional embolization represents a novel therapeutic approach for facial AVM.
- Preoperative embolization is a valuable strategy for mitigating surgical risks by decreasing intraoperative bleeding.