Document Detail


Auricular arteriovenous malformations: potential success of superselective ethanol embolotherapy.
MedLine Citation:
PMID:  19375350     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To assess retrospectively the effectiveness and safety of superselective ethanol embolotherapy for auricular arteriovenous malformations (AVMs). MATERIALS AND METHODS: Ethanol embolizations were performed under fluoroscopy by direct puncture techniques in eight patients (five male) with auricular AVMs from June 2006 to April 2008. The mean age of the patients was 31.5 years (age range, 10-59 y). Clinical follow-up (range, 5-27 months; mean, 12.6 months) and digital subtraction angiography follow-up (range, 4-25 months; mean, 8.0 months) were performed in all patients. Therapeutic outcomes were established by evaluating the outcome of symptoms and aesthetic appearance, as well as the degree of devascularization at follow-up angiography. RESULTS: Fifteen embolotherapy procedures were performed in eight patients. Six patients (75.0%) experienced complete resolution of abnormal angioarchitecture and were rated as cured at follow-up angiography. Complete control of bleeding, ulceration, and pruritus was achieved in all five patients with these symptoms (100%). In terms of aesthetic results, five patients (62.5%) showed complete resolution of the masses and were rated as cured. One patient (12.5%) experienced superficial skin necrosis that healed spontaneously after 4 weeks, without ear defect. Even though all the patients experienced blistering immediately after treatment, the complications were self-limited and minor. There were no major complications. CONCLUSIONS: In a limited series, superselective ethanol embolotherapy was effective and safe in the treatment of auricular AVMs.
Authors:
YunBo Jin; XiaoXi Lin; Hui Chen; XiaoJie Hu; XinDong Fan; Wei Li; Gang Ma; Chuan Yang; Wei Wang
Publication Detail:
Type:  Journal Article     Date:  2009-04-17
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  20     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-25     Completed Date:  2009-08-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  736-43     Citation Subset:  IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, No. 639 Zhizaoju Road, Shanghai, China.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arteriovenous Malformations / diagnosis*,  therapy*
Child
Ear, Middle / abnormalities*,  blood supply*
Embolization, Therapeutic / methods*
Ethanol / therapeutic use*
Female
Humans
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Young Adult
Chemical
Reg. No./Substance:
64-17-5/Ethanol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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