Endovascular treatment of congenital arteriovenous fistulae of the internal maxillary artery

Neuroradiology
B S KimK G terBrugge

Abstract

Congenital arteriovenous fistulae (AVF) of the internal maxillary artery (IMA) are rare. We present the angiographic findings and management of six AVF of the IMA, selected from 147 patients with facial vascular malformations. The fistula was thought to be congenital in all six in view of a life-long history, with no recorded trauma. Our analysis included angioarchitecture, treatment modality, embolic material, treatment results and follow-up. All patients had angiography showing an AVF originating from the IMA and draining to the jugular vein. Five patients underwent endovascular treatment with detachable balloons; a combination of Guglielmi detachable coils and N-acetyl-2-cyanoacrylate (NBCA) was used in one child. We successfully closed the AVF in all cases, without procedure-related complications, except for delayed transient facial numbness in one patient. No recurrence was observed on follow-up of 5 months to 7 years (mean 44 months).

Citations

Sep 1, 2008·Seminars in Interventional Radiology·Daniel CookeDanial Hallam
Apr 29, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Raphael H SachoTimo Krings
May 16, 2009·Neuroimaging Clinics of North America·Isaac C Wu, Darren B Orbach
Jan 31, 2007·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Victoria J F EltonMurray E Foster
Mar 15, 2016·Diagnostic and Interventional Imaging·S GuneyliI Oran
Jun 22, 2006·Journal of Clinical Ultrasound : JCU·Miguel López-QuiñonesRosa Gilabert
Feb 5, 2016·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Alejandro SantillanLee A Birnbaum
Jan 31, 2016·The Neuroradiology Journal·Luís AugustoAntonio Pérez-Higueras
Mar 8, 2019·The Journal of Craniofacial Surgery·Osman AkdagMustafa Sutcu

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