Recurrent head and neck arteriovenous malformations: A case report
Head and neck arteriovenous malformations are rare, congenital, and high-flow vascular malformations characterized by abnormal communication between feeding arteries and draining veins without intervening capillaries. Arteriovenous malformations are considered the most dangerous type of vascular mal...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322010512 |
| _version_ | 1811176158959501312 |
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| author | Tran Chi Cuong, MD, PhD Le Minh Thang, MD Nguyen-Luu Giang, MD Nguyen Anh Trung, MD Luu Vinh Qui, MD Tran-Thi Thanh Tha, MD Nguyen-Dao Nhat Huy, MD Tran-Van Lam, MD Duong-Hoang Linh, MD Nguyen Minh Duc, MD |
| author_facet | Tran Chi Cuong, MD, PhD Le Minh Thang, MD Nguyen-Luu Giang, MD Nguyen Anh Trung, MD Luu Vinh Qui, MD Tran-Thi Thanh Tha, MD Nguyen-Dao Nhat Huy, MD Tran-Van Lam, MD Duong-Hoang Linh, MD Nguyen Minh Duc, MD |
| author_sort | Tran Chi Cuong, MD, PhD |
| collection | DOAJ |
| description | Head and neck arteriovenous malformations are rare, congenital, and high-flow vascular malformations characterized by abnormal communication between feeding arteries and draining veins without intervening capillaries. Arteriovenous malformations are considered the most dangerous type of vascular malformation because progressive symptoms and infiltration can result in potentially life-threatening consequences. Left untreated, arteriovenous malformations can cause significant cosmetic deformities, severe bleeding, and high-output cardiac failure associated with arteriovenous shunting. The effective treatment of arteriovenous malformations located in the head and neck region is quite challenging due to high rates of recurrence and potentially lethal complications. We describe a case presenting with large arteriovenous malformations in the face and neck. Despite attempting several treatments, including external carotid artery ligation and embolization with liquid embolic agents, the patient continued to experience recurrence and symptoms of bleeding and pain. After admission, reconstructive plastic surgery was performed, supplemented by percutaneous direct puncture embolization, using glue injected into the venous and transarterial embolization. The patient was discharged with clinical recovery. Digital subtraction angiography remains the gold standard for assessing symptomatic and aggressive arteriovenous malformations, both before and after treatment. The treatment of head and neck arteriovenous malformations often requires a multidisciplinary approach to achieve the best clinical results. |
| first_indexed | 2024-04-10T19:47:40Z |
| format | Article |
| id | doaj.art-b3b3a1e7238c4cd98169242dc0f697d7 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-10T19:47:40Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-b3b3a1e7238c4cd98169242dc0f697d72023-01-29T04:20:05ZengElsevierRadiology Case Reports1930-04332023-03-01183766770Recurrent head and neck arteriovenous malformations: A case reportTran Chi Cuong, MD, PhD0Le Minh Thang, MD1Nguyen-Luu Giang, MD2Nguyen Anh Trung, MD3Luu Vinh Qui, MD4Tran-Thi Thanh Tha, MD5Nguyen-Dao Nhat Huy, MD6Tran-Van Lam, MD7Duong-Hoang Linh, MD8Nguyen Minh Duc, MD9Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, VietnamDigital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, VietnamDigital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, VietnamDepartment of Surgery, Can Tho S.I.S General Hospital, Can Tho, VietnamDepartment of Surgery, Can Tho S.I.S General Hospital, Can Tho, VietnamDepartment of Cardiology, Can Tho S.I.S General Hospital, Can Tho, VietnamDigital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, VietnamDepartment of Surgery, Can Tho S.I.S General Hospital, Can Tho, VietnamDigital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, VietnamDepartment of Radiology, Pham Ngoc Thach University of Medicine, 2 Duong Quang Trung Ward 12 District 10, Ho Chi Minh City, Vietnam; Corresponding author.Head and neck arteriovenous malformations are rare, congenital, and high-flow vascular malformations characterized by abnormal communication between feeding arteries and draining veins without intervening capillaries. Arteriovenous malformations are considered the most dangerous type of vascular malformation because progressive symptoms and infiltration can result in potentially life-threatening consequences. Left untreated, arteriovenous malformations can cause significant cosmetic deformities, severe bleeding, and high-output cardiac failure associated with arteriovenous shunting. The effective treatment of arteriovenous malformations located in the head and neck region is quite challenging due to high rates of recurrence and potentially lethal complications. We describe a case presenting with large arteriovenous malformations in the face and neck. Despite attempting several treatments, including external carotid artery ligation and embolization with liquid embolic agents, the patient continued to experience recurrence and symptoms of bleeding and pain. After admission, reconstructive plastic surgery was performed, supplemented by percutaneous direct puncture embolization, using glue injected into the venous and transarterial embolization. The patient was discharged with clinical recovery. Digital subtraction angiography remains the gold standard for assessing symptomatic and aggressive arteriovenous malformations, both before and after treatment. The treatment of head and neck arteriovenous malformations often requires a multidisciplinary approach to achieve the best clinical results.http://www.sciencedirect.com/science/article/pii/S1930043322010512Head and neck arteriovenous malformationsMultidisciplinary approachRecurrence |
| spellingShingle | Tran Chi Cuong, MD, PhD Le Minh Thang, MD Nguyen-Luu Giang, MD Nguyen Anh Trung, MD Luu Vinh Qui, MD Tran-Thi Thanh Tha, MD Nguyen-Dao Nhat Huy, MD Tran-Van Lam, MD Duong-Hoang Linh, MD Nguyen Minh Duc, MD Recurrent head and neck arteriovenous malformations: A case report Radiology Case Reports Head and neck arteriovenous malformations Multidisciplinary approach Recurrence |
| title | Recurrent head and neck arteriovenous malformations: A case report |
| title_full | Recurrent head and neck arteriovenous malformations: A case report |
| title_fullStr | Recurrent head and neck arteriovenous malformations: A case report |
| title_full_unstemmed | Recurrent head and neck arteriovenous malformations: A case report |
| title_short | Recurrent head and neck arteriovenous malformations: A case report |
| title_sort | recurrent head and neck arteriovenous malformations a case report |
| topic | Head and neck arteriovenous malformations Multidisciplinary approach Recurrence |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322010512 |
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