Đánh giá tính an toàn và hiệu quả nút mạch phối hợp bơm trực tiếp ổ dị dạng thông động tĩnh mạch vùng đầu mặt cổ trước phẩu thuật

Evaluate the safety and effectiveness of ercutaneous direct puncture glue embolization accompanying with endovascular embolization of cervicofacial arteriovenous malformation prior to extirpation

SUMMARY:

Objects: Evaluate the safety and effectiveness of percutaneous direct puncture glue embolization accompanying with endovascular embolization of cervicofacial arteriovenous malformation prior to extirpation.

Subjects and method: Clinical trial without control, achieved in 16 patients in a period from August 2008 to April 2012 at Vietduc Friendship Hospital.

Results: 16 patients was carried out endovascular for facial AVM embolization accompanying percutaneous direct puncture embolization, mostly in the age of 20 to 40 (66.5%). There are 20 times of pre-operative embolization, achieving 80% almost occlusion (>80%), extirpation in 94% of cases, hemostatic effect achieved in 88.2%. The length of hospital stay of patients who had one time of embolization and extirpation is 11,9 days.

Conclusion: Percutaneous direct puncture accompanying with endovascular glue embolization is a safe and effective procedure, which reduces surgical bleeding and achieves the ability of total extirpation, avoids recurrence.

Keyword: arterovenous malformation, endovascular embolization, percutaneous direct puncture, glue.