ENDOVASCULAR MANAGEMENT OF HEAD AND EXTREMITY VASCULAR MALFORMATIONS: A SINGLE CENTER EXPERIENCE | ||||
The Egyptian Journal of Surgery | ||||
Volume 32, Issue 2, April 2013, Page 100-108 PDF (530.67 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejsur.2013.366742 | ||||
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Authors | ||||
Ayman Hasaballah* 1; Ahmed Elbadawy1; Moustafa Othman2 | ||||
1Vascular Surgery Department, Assiut University Hospital, Assiut, Egypt | ||||
2Radiology Department, Assiut University Hospital, Assiut, Egypt | ||||
Abstract | ||||
Aim: To report our experience in the management of head and extremity vascular malformations. Methodology: From November 2010 to November 2012, the study included 20 patients. All AVM cases (11 patients, 55%) underwent trans-catheter embolisation using a mixture of N-butyl cyanoacrylate with lipidol. VM patients were allocated into either percutaneous injection of 99% ethanol under fluoroscopic guidance (3 cases, 15%) or percutaneous foam sclerotherapy using ethanol-amine oleate 5% under duplex guidance (6 cases, 30%). Results: According to our scale evaluating the outcomes, Satisfying results were observed in 19 patients (95%) after this intervention protocol. Non-satisfying outcome was noticed in a single case (5%). Conclusion: Detailed diagnostic imaging, arriving successfully to the nidus or the target lesion, delivering therapy in effective concentrations, completion angiography and the need for extra settings, all could accomplish the mission. | ||||
Keywords | ||||
malformations; endovascular; embolisation; sclerotherapy | ||||
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