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  • Title: Treatment of mandibular arteriovenous malformation by transvenous embolization: A case report.
    Author: Kiyosue H, Mori H, Hori Y, Okahara M, Kawano K, Mizuki H.
    Journal: Head Neck; 1999 Sep; 21(6):574-7. PubMed ID: 10449675.
    Abstract:
    BACKGROUND: Arteriovenous malformations (AVMs) of the mandible are relatively rare and potentially life-threatening lesions. Treatment is usually difficult. This study presents a case with high-flow AVM of the mandible in which most of the AVM were occluded by transvenous coil embolization. METHODS: Transvenous embolization using several size 57 microcoils and 3 Gianturco coils was performed through a right femoral vein access. The small residual AVM was occluded by superselective transarterial injection of cyanoacrylate. RESULTS: Angiography after embolization showed almost complete obliteration of AVM. Panoramic radiograph 2 years after treatment confirmed reossification. There was no recurrence of the symptoms in a follow-up evaluation 2 years later. CONCLUSION: Transvenous coil embolization may be a safer and more effective method in the treatment of mandibular AVM.
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