Effect of radiofrequency ablation combined with DSA-guided percutaneous ethanol sclerotherapy for refractory arteriovenous malformations in oral and maxillofacial region

doi:10.19438/j.cjoms.2017.02.012

China Journal of Oral and Maxillofacial Surgery ›› 2017, Vol. 15 ›› Issue (2): 157-160.doi: 10.19438/j.cjoms.2017.02.012

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Effect of radiofrequency ablation combined with DSA-guided percutaneous ethanol sclerotherapy for refractory arteriovenous malformations in oral and maxillofacial region

GU Jian-min^{1, 2}, MENG Jian^{1, 2}, GU Qian-ping², ZHANG Jie², LI Zhi-ping², WANG Xing²

1.College of Stomatology, Xuzhou Medical University. Xuzhou 221009;
2.Department of Stomatology, Xuzhou Central Hospital;
Xuzhou Clinical School of Xuzhou Medical University. Xuzhou 221009, Jiangsu Province, China

Received:2016-06-27 Online:2017-03-20 Published:2017-04-13
Contact: 江苏省临床医学科技专项（BL2013008）

Abstract

Abstract: PURPOSE : To evaluate the clinical effect and safety of radiofrequency ablation (RF) combined with digital subtraction angiography (DSA) -guided percutaneous ethanol sclerotherapy for refractory arteriovenous malformations(AVMs) in oral and maxillofacial region and to investigate its feasibility. METHODS : A retrospective review of patients, medical and imaging records was performed. Seven patients (4 males,3 females) with craniofacial arteriovenous malformations underwent staged RF combined with DSA-guided percutaneous ethanol sclerotherapy between March 2014 and April 2016. RESULTS : Six of 7 patients were cured,1 had no response. The therapeutic outcome was considered effective in 6 patients (85.7%). No major complications occurred. CONCLUSION S: RF with percutaneous ethanol sclerotherapy under DSA has the potential for curing refractory AVMs in oral and maxillofacial region, which may become an effective and safe tool for AVM management.

Key words: Arteriovenous malformations, Radiofrequency ablation, Digital subtraction angiography, Absolute alcohol

CLC Number:

R782.2

GU Jian-min, MENG Jian, GU Qian-ping, ZHANG Jie, LI Zhi-ping, WANG Xing. Effect of radiofrequency ablation combined with DSA-guided percutaneous ethanol sclerotherapy for refractory arteriovenous malformations in oral and maxillofacial region[J]. China Journal of Oral and Maxillofacial Surgery, 2017, 15(2): 157-160.

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Effect of radiofrequency ablation combined with DSA-guided percutaneous ethanol sclerotherapy for refractory arteriovenous malformations in oral and maxillofacial region

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