| Cirsoid aneurysm treatment by percutaneous injection of sodium tetradecyl sulfate. | |
| | |
MedLine Citation:
|
PMID: 8956889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Cirsoid aneurysms are uncommon arteriovenous fistulas of the scalp. Surgery for these lesions can be difficult; transarterial embolization is rarely curative, while embolization of the venous pouch with permanent agents usually necessitates subsequent surgical removal of the embolic material. The ideal embolic agent would be one that is safe and effective, commercially available, and would not require subsequent removal. METHODS: We treated an arteriovenous fistula of the scalp with direct puncture and injection of sodium tetradecyl sulfate, a commercially available sclerosing agent. RESULTS: Control angiography immediately following percutaneous injection of sotradecol into the fistula showed decreased flow but not complete closure of the lesion. However, within several days of the embolization, the patient's scalp pain and mass resolved. Four months after embolization, MRA demonstrated no evidence of residual or recurrent fistula. Color doppler flow imaging demonstrated only slightly decreased vascular resistance in the distal superficial temporal artery, possibly indirect evidence of persistent micro-fistulae. Twenty-three months after the procedure, the patient continued to be asymptomatic and had no palpable lesion. CONCLUSIONS: Percutaneous injection of sotradecol can be considered as one of the treatment options for arteriovenous fistula of the scalp. Further experience is needed to compare the safety and effectiveness of sotradecol with other agents currently used in the treatment of scalp arteriovenous fistulae. |
| | |
Authors:
|
L E Hendrix; G A Meyer; S J Erickson |
Related Documents
:
|
15722609 - Intraoperative color doppler sonography in the surgical treatment of perimedullary arte... 1407539 - Arteriovenous fistula of the internal maxillary artery in a child: case report. 17670229 - Huge arteriovenous malformation due to chronic infection. 10839269 - Selective transvenous liquid embolization of a type 1 dural arteriovenous fistula at th... 10447569 - Extraspinal dural arteriovenous fistula in a patient with lipomyelodysplasia: value of ... 14685789 - Congenital intrahepatic arterioportal and portosystemic venous fistulae with jejunal ar... 8127179 - Elective carotid artery resection for advanced squamous cell carcinoma of the neck. 7633119 - Late graft failure of autologous vein grafts for arterial occlusive disease: clinical a... 10849519 - Myxoma on anterior mitral leaflet presenting with symptoms of cerebellar artery infarct... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Surgical neurology Volume: 46 ISSN: 0090-3019 ISO Abbreviation: Surg Neurol Publication Date: 1996 Dec |
Date Detail:
|
Created Date: 1997-01-15 Completed Date: 1997-01-15 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0367070 Medline TA: Surg Neurol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 557-60; discussion 560-1 Citation Subset: IM |
Affiliation:
|
Department of Radiology, Medical College of Wisconsin, Milwaukee 53226, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Arteriovenous Fistula / therapy* Chemoembolization, Therapeutic / methods* Humans Injections, Subcutaneous Male Scalp / blood supply* Sclerosing Solutions / administration & dosage* Sodium Tetradecyl Sulfate / administration & dosage* |
| Chemical | |
Reg. No./Substance:
|
0/Sclerosing Solutions; 1191-50-0/Sodium Tetradecyl Sulfate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Giant aneurysm of the proximal anterior cerebral artery.
Next Document: Microsurgical removal of a free segment of microcatheter in the anterior circulation as a complicati...