Therapeutic approach to arteriovenous malformations of the tongue
| Autor: | H. S. Jhaveri, Denis Herbreteau, S. Slaba, J. J. Merland, A. Aymard, O. Enjolras, M. C. Riché, N. Aoun, Alfredo Casasco, Emmanuel Houdart |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Radiography Interventional Asymptomatic Arteriovenous Malformations Therapeutic approach Tongue Direct puncture medicine Humans Radiology Nuclear Medicine and imaging Embolization Child Neuroradiology Bleeding episodes medicine.diagnostic_test business.industry Angiography Digital Subtraction Interventional radiology General Medicine Embolization Therapeutic Surgery medicine.anatomical_structure Female Radiology medicine.symptom business |
| Zdroj: | European Radiology. 8:280-285 |
| ISSN: | 1432-1084 0938-7994 |
| Popis: | Arteriovenous malformations (AVM) are developmental errors with a high complication rate because they are hemodynamically active. The aim of our study is to evaluate management of the rare subgroup of tongue AVM. From 1982 to 1994, 25 patients with AVM of the tongue presented to our department. All patients were discussed in our multidisciplinary staff consultation and were treated by embolization, surgery, or were followed-up clinically with no intervention. Thirteen patients were asymptomatic in a hemodynamically quiescent phase and did not require any kind of intervention. The 12 others underwent embolization procedures following which 6 became stable, 2 had complementary surgery, 1 was lost to follow-up, 1 had two minor bleeding episodes without the need for hospitalization, and 2 were improved. Arteriovenous malformations of the tongue must be followed clinically and treated only if they become active. Permanent embolization with a polymerizing liquid administered through supra-selective catheterization or by direct puncture of the malformation is recommended. |
| Databáze: | OpenAIRE |
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