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学科主题: 口腔医学
题名:
Intraosseous Embolotherapy of Central Arteriovenous Malformations in the Jaw: Long-Term Experience With 8 Cases
作者: Liu, Denggao1; Ma, Xuchen1,2; Zhao, Fuyun3; Zhang, Jianguo4
刊名: JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
发表日期: 2009-11-01
DOI: 10.1016/j.joms.2009.04.088
卷: 67, 期:11, 页:2380-2387
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Dentistry, Oral Surgery & Medicine
研究领域[WOS]: Dentistry, Oral Surgery & Medicine
关键词[WOS]: DIRECT-PUNCTURE EMBOLIZATION ; TRANSVENOUS EMBOLIZATION ; VENOUS EMBOLIZATION ; MANAGEMENT ; GLUE
英文摘要:

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 intraossous lesions were percutaneously punctured With in 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 embolotheraphy The other 3 AVMs were clincally cured after 1 (n = 2) to 4 (n = 1) sessions of embolotheraphy. 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 in emergency. Complete reossification of the intraosseous nidus can be anticipated if a complete occlusion is obtained (C) 2009 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 67-2380-2387, 2009

语种: 英语
WOS记录号: WOS:000271243100010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54990
Appears in Collections:北京大学口腔医学院_医学影像科_期刊论文

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作者单位: 1.Peking Univ, Sch & Hosp Stomatol, Dept Oral Radiol, Beijing 10081, Peoples R China
2.Peking Univ, Sch & Hosp Stomatol, Ctr TMD, Beijing 10081, Peoples R China
3.Peking Univ, Sch & Hosp Stomatol, Dept Oral & Maxillofacial Surg, Beijing 10081, Peoples R China
4.Peking Univ, Sch Stomatol, Dept Oral & Maxillofacial Surg, Beijing 10081, Peoples R China

Recommended Citation:
Liu, Denggao,Ma, Xuchen,Zhao, Fuyun,et al. Intraosseous Embolotherapy of Central Arteriovenous Malformations in the Jaw: Long-Term Experience With 8 Cases[J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY,2009,67(11):2380-2387.
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