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Absolute Ethanol Embolization of Arteriovenous Malformations in the Periorbital Region

  • Clinical Investigation
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Abstract

Objective

Arteriovenous malformations (AVMs) involving the periorbital region are technically challenging clinical entities to manage. The purpose of the present study was to present our initial experience of ethanol embolization in a series of 16 patients with auricular AVMs and assess the outcomes of this treatment.

Methods

Transcatheter arterial embolization and/or direct percutaneous puncture embolization were performed in the 16 patients. Pure or diluted ethanol was manually injected. The follow-up evaluations included physical examination and angiography at 1- to 6-month intervals.

Results

During the 28 ethanol embolization sessions, the amount of ethanol used ranged from 2 to 65 mL. The obliteration of ulceration, hemorrhage, pain, infection, pulsation, and bruit in most of the patients was obtained. The reduction of redness, swelling, and warmth was achieved in all the 16 patients, with down-staging of the Schobinger status for each patient. AVMs were devascularized 100 % in 3 patients, 76–99 % in 7 patients, and 50–75 % in 6 patients, according to the angiographic findings. The most common complications were necrosis and reversible blister. No permanent visual abnormality was found in any of the cases.

Conclusion

Ethanol embolization is efficacious and safe in the treatment of AVMs in the periorbital region and has the potential to be accepted as the primary mode of therapy in the management of these lesions.

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Conflict of interest

Li-xin Su, Ren-Bing Jia, De-Ming Wang, Mingming LV, Xin-dong Fan declare no conflict of interest and do not have all potential benefits in any form from a commercial party related directly or indirectly to the subject of the manuscript or any of the authors.

Statement of Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Authors and Affiliations

  1. Department of Radiology, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, No. 639 Zhizaoju Road, Huangpu District, Shanghai, 200011, People’s Republic of China

    De-Ming Wang, Ming-Ming Lv & Xin-dong Fan

  2. Department of Oral and Maxillofacial & Head and Neck Oncology, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People’s Republic of China

    Li-xin Su

  3. Department of Ophthalmology, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People’s Republic of China

    Ren-Bing Jia

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  1. Li-xin Su
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Correspondence to Xin-dong Fan.

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Su, Lx., Jia, RB., Wang, DM. et al. Absolute Ethanol Embolization of Arteriovenous Malformations in the Periorbital Region. Cardiovasc Intervent Radiol 38, 632–641 (2015). https://doi.org/10.1007/s00270-014-0993-z

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  • DOI: https://doi.org/10.1007/s00270-014-0993-z

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