Management of Sizeable Arterio-venous Malformation after Infection Post-embolization: An Uncommon Complication of the Common Problem
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Abstract
Arteriovenous malformations are infrequent anomalies that are most commonly present in the head and neck region. Getting a satisfying functional and aesthetic result in large AVM in the craniofacial region is challenging. Most commonly, these lesions are treated by a combination of embolization followed by surgical resection. Infection after embolization is an infrequent complication. We present a large AVM that involved the upper lip, the floor of the mouth, tongue, and masticator space, which got infected after embolization. Management of this patient is presented and discussed, which led to satisfying functional and aesthetic results.
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References
Mulliken JB, Glowacki J. Hemangiomas and Vascular Malformations in Infants and Children: A Classification Based on Endothelial Characteristics. Plast Reconstr Surg. 1982 Mar;69(3):412–20.
Mulliken JB, Fishman SJ, Burrows PE. Vascular anomalies. Curr Probl Surg. 2000 Aug;37(8):517–84.
Richter GT, Friedman AB. Hemangiomas and vascular malformations: current theory and management. Int J Pediatr. 2012;2012:645678.
Greene AK, Orbach DB. Management of Arteriovenous Malformations. Clin Plast Surg. 2011 Jan;38(1):95–106.
Lee BB, Baumgartner I, Berlien HP, Bianchini G, Burrows P, Do YS, et al. Consensus Document of the International Union of Angiology (IUA)-2013. Current concept on the management of arterio-venous management. Int Angiol J Int Union Angiol. 2013 Feb;32(1):9–36.
Wu IC, Orbach DB. Neurointerventional management of high-flow vascular malformations of the head and neck. Neuroimaging Clin N Am. 2009 May;19(2):219–40, Table of Contents.
Kitagawa A, Yamamoto T, Matsunaga N, Yamaji M, Ikeda S, Izumi Y, et al. Polidocanol Sclerotherapy Combined with Transarterial Embolization Using n-Butyl Cyanoacrylate for Extracranial Arteriovenous Malformations. Cardiovasc Intervent Radiol. 2018 Jun;41(6):856–66.
Ella B, Lanotte A, Sedarat C, Fricain J-C. Arteriovenous malformation (AVM) of the maxilla complicated by a local pathogen infection. Case Rep. 2013 Jan 31;2013(jan31 1):bcr2012007617–bcr2012007617.
Pompa V, Brauner E, Bresadola L, Di Carlo S, Valentini V, Pompa G. Treatment of facial vascular malformations with embolisation and surgical resection. Eur Rev Med Pharmacol Sci. 2012 Mar;16(3):407–13.
Pedreira R, Lopez J, Ostrander BT, Pearl M, Puttgen K, Tekes A, et al. An Interdisciplinary Approach to Treatment of Adult Facial Arteriovenous Malformations: A Review of the Literature and A Single Institutionʼs Experience With “Late” Surgical Resection and Aesthetic Reconstruction. J Craniofac Surg. 2019 Sep;30(6):1635–9.