TRANSARTERIAL EMBOLIZATION OF HEMANGIOMA RACEMOSUM OF THE MANDIBULAR REGION OF FACE
- VernacularTitle:颌面部蔓状血管瘤栓塞治疗
- Author:
Zhongnan OUYANG
- Publication Type:Journal Article
- Keywords:
hemangioma racemosum;
arteriovenous malformation;
embolization, therapeutic
- From:
Medical Journal of Chinese People's Liberation Army
1982;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
The goal of this study is to present our experience of transarterial embolization for the treatment of hemangioma racemosum of the mandibular region of the face. 6 cases of hemangioma racemosum, confirmed by digital subtraction angiography (DSA), the feeding vessels were found to be the external carotid artery. Further angiographic examination was performed to determine whether an arterial-venous fistula was present. If there was a a-v fistula, the feeding vessel was occluded by a coil. If there was no fistula, the feeding vessel was occluded by superselective transarterial injection of gelfoam granules and/or coils until all the feeding vessels were embolized. Excellent clinical and angiographic results were obtained, with obliteration of arteriovenous shunt in all patients. Angiography after embolization showed almost complete obliteration of hemangioma racemosum. There were no serious complications such as embolism to other organs and necrosis of a large area in the embolized tissue. Only slight swelling and pain in the embolized area were present. They gradually disappeared by expectant treatment. No recurrence of the symptoms was occurred in a follow-up evaluation 7～29 months later. Transarterial gelfoam granule and/or coil embolization may be a safer and more effective method in the treatment of mandibular and facial hemangioma racemosum.
