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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Recurrent head and neck arteriovenous malformations: A case report.
Tran Chi Cuong1, Le Minh Thang1, Nguyen-Luu Giang1
1Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Vietnam.
Radiology Case Reports
|January 2, 2023
Summary
Head and neck arteriovenous malformations (AVMs) are rare, dangerous vascular defects. A multidisciplinary approach combining surgery and embolization offers effective treatment for complex AVM cases.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Plastic Surgery
Background:
- Head and neck arteriovenous malformations (AVMs) are rare, congenital, high-flow vascular anomalies.
- AVMs present a significant risk due to potential life-threatening complications like severe bleeding and cardiac failure.
- Treatment is challenging due to high recurrence rates and the risk of lethal complications.
Observation:
- A case of large, recurrent head and neck AVMs refractory to initial treatments (artery ligation, embolization) is presented.
- The patient experienced persistent bleeding and pain despite multiple interventions.
- Digital subtraction angiography confirmed the AVM's extent and guided treatment.
Findings:
- A combined approach of reconstructive plastic surgery and percutaneous embolization (glue) achieved successful AVM closure.
- The patient showed clinical recovery post-treatment.
- Digital subtraction angiography is crucial for pre- and post-treatment assessment.
Implications:
- Complex head and neck AVMs may require a multimodal treatment strategy.
- Percutaneous embolization combined with surgery can be effective for challenging AVMs.
- A multidisciplinary team approach is essential for optimal outcomes in managing these rare vascular malformations.
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