Clinical Research of Absolute Ethanol Sclerotherapy for Arteriovenous Malformations in the Head and Neck

Gong Wei; Guo Xin Kui; Wang Huai Jie; Zhou Xiao Qing; Liu Qiang

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Gong Wei , Guo Xin Kui , Wang Huai Jie , Zhou Xiao Qing , Liu Qiang . Clinical Research of Absolute Ethanol Sclerotherapy for Arteriovenous Malformations in the Head and Neck[J]. Journal of Kunming Medical University, 2018, 39(07): 119-123.

Citation:

Gong Wei , Guo Xin Kui , Wang Huai Jie , Zhou Xiao Qing , Liu Qiang . Clinical Research of Absolute Ethanol Sclerotherapy for Arteriovenous Malformations in the Head and Neck[J]. Journal of Kunming Medical University, 2018, 39(07): 119-123.

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Clinical Research of Absolute Ethanol Sclerotherapy for Arteriovenous Malformations in the Head and Neck

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基金：陕西省社会发展科技公关项目 (2016SF-189);

Received Date: 2017-12-01

Abstract

Abstract

Objective To evaluate the therapeutic efficacy and safety of absolute ethanol sclerotherapy for arteriovenous malformations in the head and neck. Me thods We made a retrospective analysis of 21 patients (12 male, 9 female, age range 5 59 years; mean age 19 years) with arteriovenous malformations who underwent absolute ethanol sclerotherapy in the second affiliated hospital of Xa'an Jiautong University between January 2014 and June 2016. Therapeutic outcomes were evaluated by clinical responses of symptoms and signs, as well as the degree of devascularization on angiography or contrast-enhanced computed tomography. Treatment complications were recorded detailedly. Re s ults Six patients (29%) were cured, 12 patients (57%) improved, and 2 patients (10%) had no change and no patient showed aggravation after treatment. One patient was lost to follow-up and 7 patients (33%) had one or more complications, including skin necrosis in 5 patients (24%) , (24%) , tension blisters in 3 patients (14%) and peripheral nerve injury in 3 patients (14%) . All of the complications were recovered in 3 months. There was no irreversible necrosis and permanent impairment of function. Conclus ion Absolute ethanol sclerotherapy embolotherapy is an effective treatment for head and neck arteriovenous malformations, but it carries a potential risk of serious complications, so systemic disciplinary careful evaluation and detailed treatment plan must be required before each therapy.
- Absolute ethanol,
- Sclerotherapy,
- Arteriovenous malformation

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References(14)

References

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