Embolization as the Primary Treatment for Mandibular Arteriovenous Malformations: An Analysis of 50 Literature Reports and of an Illustrative Case
The aim of the present report is to describe 50 cases in the literature of mandibular arteriovenous malformations (AVMs) in which embolization was the primary treatment and to discuss details such as age, gender, materials used, outcome of embolization, time of follow-up, and intra- or postprocedure...
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| Published in: | Journal of oral and maxillofacial surgery Vol. 76; no. 8; pp. 1695 - 1707 |
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| Language: | English |
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01-08-2018
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| Abstract | The aim of the present report is to describe 50 cases in the literature of mandibular arteriovenous malformations (AVMs) in which embolization was the primary treatment and to discuss details such as age, gender, materials used, outcome of embolization, time of follow-up, and intra- or postprocedure complications. An illustrative case in which reossification was noticed after embolization also is presented.
The study was carried out in 2 steps. In the first, an electronic search without time restriction for embolization as the primary treatment for mandibular AVMs was performed on Medline through PubMed. In the second, the case of a patient with mandibular AVM and massive oral bleeding episodes is described after a long-term follow-up.
Clinical stability with the cessation of oral bleeding episodes was detected in 25 cases and 2 cases were planned for another embolization session. Clinical stability and reossification were detected in 23 of the 50 cases included. Complications were reported in 50% of cases, but most were minor and transient.
Currently, owing to more sophisticated imaging techniques, the diagnosis of mandibular AVMs is quicker and new, less invasive techniques that avoid surgical resection have proved effective. It should be emphasized that these techniques are not without complications and that long-term monitoring is extremely important. |
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| AbstractList | PURPOSEThe aim of the present report is to describe 50 cases in the literature of mandibular arteriovenous malformations (AVMs) in which embolization was the primary treatment and to discuss details such as age, gender, materials used, outcome of embolization, time of follow-up, and intra- or postprocedure complications. An illustrative case in which reossification was noticed after embolization also is presented.PATIENTS AND METHODSThe study was carried out in 2 steps. In the first, an electronic search without time restriction for embolization as the primary treatment for mandibular AVMs was performed on Medline through PubMed. In the second, the case of a patient with mandibular AVM and massive oral bleeding episodes is described after a long-term follow-up.RESULTSClinical stability with the cessation of oral bleeding episodes was detected in 25 cases and 2 cases were planned for another embolization session. Clinical stability and reossification were detected in 23 of the 50 cases included. Complications were reported in 50% of cases, but most were minor and transient.CONCLUSIONCurrently, owing to more sophisticated imaging techniques, the diagnosis of mandibular AVMs is quicker and new, less invasive techniques that avoid surgical resection have proved effective. It should be emphasized that these techniques are not without complications and that long-term monitoring is extremely important. The aim of the present report is to describe 50 cases in the literature of mandibular arteriovenous malformations (AVMs) in which embolization was the primary treatment and to discuss details such as age, gender, materials used, outcome of embolization, time of follow-up, and intra- or postprocedure complications. An illustrative case in which reossification was noticed after embolization also is presented. The study was carried out in 2 steps. In the first, an electronic search without time restriction for embolization as the primary treatment for mandibular AVMs was performed on Medline through PubMed. In the second, the case of a patient with mandibular AVM and massive oral bleeding episodes is described after a long-term follow-up. Clinical stability with the cessation of oral bleeding episodes was detected in 25 cases and 2 cases were planned for another embolization session. Clinical stability and reossification were detected in 23 of the 50 cases included. Complications were reported in 50% of cases, but most were minor and transient. Currently, owing to more sophisticated imaging techniques, the diagnosis of mandibular AVMs is quicker and new, less invasive techniques that avoid surgical resection have proved effective. It should be emphasized that these techniques are not without complications and that long-term monitoring is extremely important. |
| Author | Batista, Laécio Leitão Monteiro, João Luiz Gomes Carneiro do Egito Vasconcelos, Belmiro Cavalcanti Célia de Aguiar Soares Carneiro, Suzana Figueiredo Leal, Jefferson Luiz de Arruda, José Alcides Almeida |
| Author_xml | – sequence: 1 givenname: João Luiz Gomes Carneiro surname: Monteiro fullname: Monteiro, João Luiz Gomes Carneiro email: joaoluizgcm2@gmail.com organization: Postgraduate Student, Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidade de Pernambuco, Camaragibe, PE, Brazil – sequence: 2 givenname: José Alcides Almeida surname: de Arruda fullname: de Arruda, José Alcides Almeida organization: Postgraduate Student, Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil – sequence: 3 givenname: Jefferson Luiz surname: Figueiredo Leal fullname: Figueiredo Leal, Jefferson Luiz organization: Postgraduate Student, Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidade de Pernambuco, Camaragibe, PE, Brazil – sequence: 4 givenname: Laécio Leitão surname: Batista fullname: Batista, Laécio Leitão organization: Head of Interventional Radiology, Hospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, Brazil – sequence: 5 givenname: Suzana surname: Célia de Aguiar Soares Carneiro fullname: Célia de Aguiar Soares Carneiro, Suzana organization: Adjunct Professor, School of Dentistry, Faculdade Integrada de Pernambuco and Service of Oral and Maxillofacial Surgery, Hospital da Restauração, Recife, PE, Brazil – sequence: 6 givenname: Belmiro Cavalcanti surname: do Egito Vasconcelos fullname: do Egito Vasconcelos, Belmiro Cavalcanti organization: Assistant Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidade de Pernambuco and Service of Oral and Maxillofacial Surgery, Hospital da Restauração, Recife, PE, Brazil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29551518$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1136_bcr_2022_251589 crossref_primary_10_1016_j_joms_2018_09_011 crossref_primary_10_1038_s41598_020_68967_3 crossref_primary_10_1097_JOVA_0000000000000021 crossref_primary_10_22575_interventionalradiology_2022_0009 crossref_primary_10_1016_j_joms_2022_07_139 crossref_primary_10_1016_j_joms_2018_06_026 crossref_primary_10_1563_aaid_joi_D_20_00037 crossref_primary_10_1016_j_ijporl_2021_110942 |
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| Snippet | The aim of the present report is to describe 50 cases in the literature of mandibular arteriovenous malformations (AVMs) in which embolization was the primary... PURPOSEThe aim of the present report is to describe 50 cases in the literature of mandibular arteriovenous malformations (AVMs) in which embolization was the... |
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| SubjectTerms | Adolescent Arteriovenous Malformations - diagnosis Arteriovenous Malformations - therapy Dentistry Diagnostic Imaging Embolization, Therapeutic - methods Humans Male Mandible - blood supply |
| Title | Embolization as the Primary Treatment for Mandibular Arteriovenous Malformations: An Analysis of 50 Literature Reports and of an Illustrative Case |
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