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

✍ Scribed by Hiro Kiyosue; Hiromu Mori; Yuzo Hori; Mika Okahara; Kenji Kawano; Harumi Mizuki

Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
243 KB
Volume
21
Category
Article
ISSN
1043-3074

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✦ Synopsis

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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