Absence of skin discoloration after transarterial embolization of a subcutaneous auricular arteriovenous malformation with PHIL
| Autor: | Peter W. A. Willems, Matthijs in ‘t Veld |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Treatment options Arteriovenous malformation liquid embolic AVM medicine.disease craniofacial Skin Discoloration 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Transarterial embolization discoloration medicine Surgical excision Radiology Embolization business 030217 neurology & neurosurgery cosmetic |
| Zdroj: | Interventional Neuroradiology, 22(5), 606-610 |
| Popis: | Background and objective One of the treatment options for arteriovenous malformations consists of embolization, with a choice of various embolic agents, with or without subsequent surgical excision. If embolization is offered without subsequent surgery, the embolic material will stay in situ, in which case the consistency and color become important in superficial lesions. The purpose of this case report is to describe if the use of a novel liquid embolic agent (PHIL) is well suited for treatment of superficial AVMs without subsequent surgery. Case description A 30-year-old male presented with a painful reddish, pulsatile swelling of the left ear that had been present for more than 10 years. Angiography confirmed an arteriovenous malformation supplied by the superficial temporal artery and the posterior auricular artery. The lesion was successfully treated by embolization with PHIL, through the superficial temporal artery. A minute residual shunt, from the posterior auricular artery, was accepted. Immediate disappearance of pulsatile tinnitus was reported. Moreover, return of normal skin color was observed without discomfort from the embolic deposits. This result has been stable throughout one year of clinical follow-up. Conclusion To our knowledge, this is the first case report describing PHIL embolization as a treatment option for superficial arteriovenous malformations without the necessity for subsequent surgery. The white color and rubbery consistency are beneficial characteristics of PHIL in treatment of subcutaneous lesions, especially in cosmetically relevant locations. |
| Databáze: | OpenAIRE |
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