Document Detail

Intraosseous embolotherapy of central arteriovenous malformations in the jaw: long-term experience with 8 cases.
MedLine Citation:
PMID:  19837306     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To investigate the long-term effects of direct intraosseous histoacryl embolotherapy on central arteriovenous malformations (AVMs) of the jaw. MATERIALS AND METHODS: Eight patients with central AVMs of the jaw (3 in the maxilla and 5 in the mandible) were treated with direct intraosseous histoacryl injection. These AVMs exhibited cystic radiolucency, with (n = 5) or without (n = 3) honeycombed component. On angiography, all the AVMs exhibited a large intraosseous nidus with multiple suppliers and drainages. The intraosseous lesions were percutaneously punctured with an 18- to 20-gauge needle, and NBCA diluted 30% to 40% with iodized oil was injected during venous compression. RESULTS: Postembolic arteriograms showed that all the AVMs were completely or nearly completely devascularized after single or multiple injections at the initial treatment. The follow-up period ranged from 3 to 8 years. Two AVMs experienced postembolic curettage and were anatomically cured. Three AVMs were anatomically cured after 1 to 3 sessions of embolotherapy. The other 3 AVMs were clinically cured after 1 (n = 2) to 4 (n = 1) sessions of embolotherapy. There were no procedure-related severe complications. CONCLUSIONS: Direct intraosseous glue embolotherapy can be a simple and safe technique for endovascular management of central AVMs in the jaw and is particularly effective in an emergency. Complete reossification of the intraosseous nidus can be anticipated if a complete occlusion is obtained.
Denggao Liu; Xuchen Ma; Fuyun Zhao; Jianguo Zhang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  67     ISSN:  1531-5053     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-19     Completed Date:  2009-11-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2380-7     Citation Subset:  AIM; D; IM    
Department of Oral Radiology, Peking University, School and Hospital of Stomatology, Beijing, China.
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MeSH Terms
Arteriovenous Malformations / radiography,  therapy*
Carotid Artery, External / abnormalities*
Carotid Artery, Internal / abnormalities
Embolization, Therapeutic / methods*
Enbucrilate / administration & dosage*
Follow-Up Studies
Infusions, Intraosseous
Mandible / blood supply,  radiography
Maxilla / blood supply,  radiography
Tissue Adhesives / administration & dosage*
Treatment Outcome
Young Adult
Reg. No./Substance:
0/Tissue Adhesives; 6606-65-1/Enbucrilate

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

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