Effect analysis of interventional therapy for hemorrhage of mandibular arteriovenous malformations
10.3760/cma.j.issn.1005-1201.2020.01.011
- VernacularTitle: 介入治疗下颌骨动静脉畸形出血的疗效分析
- Author:
Zhen LI
1
;
Pengchao ZHAN
;
Pengli ZHOU
;
Xin LI
;
Kun JI
;
Yang SHI
;
Shuwen YE
;
Bingcan XIE
;
Xinwei HAN
Author Information
1. Department of Interventional Radiology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
Arteriovenous malformation;
Mandible;
Radiology, interventional;
Embolization, therapeutic
- From:
Chinese Journal of Radiology
2020;54(1):53-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the therapeutic value of interventional methods for hemorrhage caused by mandibular arteriovenous malformations.
Methods:The clinical data of 7 patients (3 males and 4 females) with mandibular arteriovenous malformations treated by interventional therapy from January 2012 to January 2018 in the First Affiliated Hospital, Zhengzhou University were retrospectively analyzed. Of all patients, 4 patients suffered from sudden massive hemorrhage and 3 patients suffered from spontaneous repeated bleeding. The age ranged from 8.0 to 13.0 (10.6±1.7) years. Of the 7 patients, 3 underwent interventional embolization via arteries and veins, and 4 underwent embolization only via arteries. The embolic materials were polyvinyl alcohol granules and coils. The follow-up period was 9—18 months and the curative effect was observed.
Results:Among the 7 patients, 4 cases of acute massive hemorrhage were effectively controlled after interventional operation, 3 cases of chronic bleeding disappeared after interventional operation. No recurrence of bleeding occurred during the follow-up period, only 1 patient presented with oral infection and gingival swelling and hyperplasia. The symptoms were effectively controlled after anti-infection and debridement. No severe complications occurred in all patients.
Conclusion:Interventional therapy for ateriovenous malformation with hemorrhage is effective, safe and feasible, which is worthy of clinical application.
