Absolute Ethanol Embolization of Arteriovenous Malformations in the Periorbital Region

Su, Li-xin; Jia, Ren-Bing; Wang, De-Ming; Lv, Ming-Ming; Fan, Xin-dong

doi:10.1007/S00270-014-0993-Z

Title: Absolute Ethanol Embolization of Arteriovenous Malformations in the Periorbital Region

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Abstract

ObjectiveArteriovenous malformations (AVMs) involving the periorbital region are technically challenging clinical entities to manage. The purpose of the present study was to present our initial experience of ethanol embolization in a series of 16 patients with auricular AVMs and assess the outcomes of this treatment.MethodsTranscatheter arterial embolization and/or direct percutaneous puncture embolization were performed in the 16 patients. Pure or diluted ethanol was manually injected. The follow-up evaluations included physical examination and angiography at 1- to 6-month intervals.ResultsDuring the 28 ethanol embolization sessions, the amount of ethanol used ranged from 2 to 65 mL. The obliteration of ulceration, hemorrhage, pain, infection, pulsation, and bruit in most of the patients was obtained. The reduction of redness, swelling, and warmth was achieved in all the 16 patients, with down-staging of the Schobinger status for each patient. AVMs were devascularized 100 % in 3 patients, 76–99 % in 7 patients, and 50–75 % in 6 patients, according to the angiographic findings. The most common complications were necrosis and reversible blister. No permanent visual abnormality was found in any of the cases.ConclusionEthanol embolization is efficacious and safe in the treatment of AVMs in the periorbital region and has the potential to be accepted as the primary mode ofmore »« less

Authors:

Su, Li-xin ^[1]; Jia, Ren-Bing ^[2]; Wang, De-Ming; Lv, Ming-Ming; Fan, Xin-dong ^[3]

Shanghai Jiao Tong University School of Medicine, Department of Oral and Maxillofacial & Head and Neck Oncology, Ninth People’s Hospital (China)
Shanghai Jiao Tong University School of Medicine, Department of Ophthalmology, Ninth People’s Hospital (China)
Shanghai Jiao Tong University School of Medicine, Department of Radiology, Ninth People’s Hospital (China)

Publication Date:: Mon Jun 15 00:00:00 EDT 2015

OSTI Identifier:: 22469920

Resource Type:: Journal Article

Journal Name:: Cardiovascular and Interventional Radiology

Additional Journal Information:: Journal Volume: 38; Journal Issue: 3; Conference: CIRSE 2015: Cardiovascular and Interventional Radiological Society of Europe congress, Lisbon (Portugal), 26-30 Sep 2015; Other Information: Copyright (c) 2015 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551

Country of Publication:: United States

Language:: English

Subject:: 62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; BLISTERS; BLOOD VESSELS; ETHANOL; EVALUATION; HEMORRHAGE; INDIUM 100; INDIUM 99; MALFORMATIONS; MANAGEMENT; MANUALS; NECROSIS; PAIN; PATIENTS; POTENTIALS; PULSATIONS; REDUCTION; SWELLING; THERAPY; VASCULAR DISEASES

Citation Formats


                    Su, Li-xin, Jia, Ren-Bing, Wang, De-Ming, Lv, Ming-Ming, and Fan, Xin-dong. Absolute Ethanol Embolization of Arteriovenous Malformations in the Periorbital Region.  United States: N. p., 2015. 
        Web.  doi:10.1007/S00270-014-0993-Z.

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                    Su, Li-xin, Jia, Ren-Bing, Wang, De-Ming, Lv, Ming-Ming, & Fan, Xin-dong. Absolute Ethanol Embolization of Arteriovenous Malformations in the Periorbital Region.  United States.  https://doi.org/10.1007/S00270-014-0993-Z

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                    Su, Li-xin, Jia, Ren-Bing, Wang, De-Ming, Lv, Ming-Ming, and Fan, Xin-dong. 2015.  
        "Absolute Ethanol Embolization of Arteriovenous Malformations in the Periorbital Region".  United States.  https://doi.org/10.1007/S00270-014-0993-Z.

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@article{osti_22469920,

  title        = {Absolute Ethanol Embolization of Arteriovenous Malformations in the Periorbital Region},

  author       = {Su, Li-xin and Jia, Ren-Bing and Wang, De-Ming and Lv, Ming-Ming and Fan, Xin-dong},

  abstractNote = {ObjectiveArteriovenous malformations (AVMs) involving the periorbital region are technically challenging clinical entities to manage. The purpose of the present study was to present our initial experience of ethanol embolization in a series of 16 patients with auricular AVMs and assess the outcomes of this treatment.MethodsTranscatheter arterial embolization and/or direct percutaneous puncture embolization were performed in the 16 patients. Pure or diluted ethanol was manually injected. The follow-up evaluations included physical examination and angiography at 1- to 6-month intervals.ResultsDuring the 28 ethanol embolization sessions, the amount of ethanol used ranged from 2 to 65 mL. The obliteration of ulceration, hemorrhage, pain, infection, pulsation, and bruit in most of the patients was obtained. The reduction of redness, swelling, and warmth was achieved in all the 16 patients, with down-staging of the Schobinger status for each patient. AVMs were devascularized 100 % in 3 patients, 76–99 % in 7 patients, and 50–75 % in 6 patients, according to the angiographic findings. The most common complications were necrosis and reversible blister. No permanent visual abnormality was found in any of the cases.ConclusionEthanol embolization is efficacious and safe in the treatment of AVMs in the periorbital region and has the potential to be accepted as the primary mode of therapy in the management of these lesions.},

  doi          = {10.1007/S00270-014-0993-Z},

  url          = {https://www.osti.gov/biblio/22469920},
  journal      = {Cardiovascular and Interventional Radiology},

  issn         = {0174-1551},

  number       = 3,

  volume       = 38,

  place        = {United States},

  year         = {Mon Jun 15 00:00:00 EDT 2015},

  month        = {Mon Jun 15 00:00:00 EDT 2015}

}

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