Curative Transvenous Onyx Embolization of a Maxillary Arteriovenous Malformation in a Child: Report of a New Technique. Issue 2 (March 2016)

• Record Type: Journal Article
• Authors: Limbucci, Nicola; Spinelli, Giuseppe; Nappini, Sergio; Renieri, Leonardo; Consoli, Arturo; Rosi, Andrea; Mangiafico, Salvatore
• Is Part Of: Journal of craniofacial surgery. Volume 27:Issue 2(2016)
• Page Start: e217
• Page End: e219
• Publication Date: 2016-03
• Subjects: Arteriovenous malformations -- interventional neuroradiology -- maxillary diseases -- onyx -- therapeutic embolization -- transvenous embolization; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000002489
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: Endovascular management of maxillary arteriovenous malformation (AVMs) can be complex. Transarterial, transvenous, and direct puncture embolization has been described. The authors report the case of a 9-year-old girl with a hemorrhagic maxillary AVM, which has been treated by transvenous embolization after failure of transarterial embolization. The venous pouch was catheterized with a detachable tip microcatheter and occluded by slow Onyx injection. Onyx filled the pouch and retrogradely reached some arterial feeders, achieving complete occlusion. Bleeding episode ceased and at 6 months follow-up no recurrence was found. Maxillary AVMs can be successfully treated by transvenous Onyx embolization.