| Intraosseous embolotherapy of central arteriovenous malformations in the jaw: long-term experience with 8 cases. | |
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MedLine Citation:
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PMID: 19837306 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Denggao Liu; Xuchen Ma; Fuyun Zhao; Jianguo Zhang |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2009-10-19 Completed Date: 2009-11-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8206428 Medline TA: J Oral Maxillofac Surg Country: United States |
Other Details:
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Languages: eng Pagination: 2380-7 Citation Subset: AIM; D; IM |
Affiliation:
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Department of Oral Radiology, Peking University, School and Hospital of Stomatology, Beijing, China. kqldg@bjmu.edu.cn |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Angiography Arteriovenous Malformations / radiography, therapy* Carotid Artery, External / abnormalities* Carotid Artery, Internal / abnormalities Child Embolization, Therapeutic / methods* Enbucrilate / administration & dosage* Female Follow-Up Studies Humans Infusions, Intraosseous Male Mandible / blood supply, radiography Maxilla / blood supply, radiography Tissue Adhesives / administration & dosage* Treatment Outcome Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Tissue Adhesives; 6606-65-1/Enbucrilate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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