ENDOVASCULAR MANAGEMENT OF HEAD AND EXTREMITY VASCULAR MALFORMATIONS: A SINGLE CENTER EXPERIENCE

Document Type : Original Article

Authors

1 Vascular Surgery Department, Assiut University Hospital, Assiut, Egypt

2 Radiology Department, Assiut University Hospital, Assiut, Egypt

Abstract

Aim: To report our experience in the management of head and extremity vascular malformations.
Methodology: From November 2010 to November 2012, the study included 20 patients. All AVM cases (11 
patients, 55%) underwent trans-catheter embolisation using a mixture of N-butyl cyanoacrylate with lipidol. 
VM patients were allocated into either percutaneous injection of 99% ethanol under fluoroscopic guidance (3 
cases, 15%) or percutaneous foam sclerotherapy using ethanol-amine oleate 5% under duplex guidance (6 
cases, 30%).
Results: According to our scale evaluating the outcomes, Satisfying results were observed in 19 patients (95%) 
after this intervention protocol. Non-satisfying outcome was noticed in a single case (5%). 
Conclusion: Detailed diagnostic imaging, arriving successfully to the nidus or the target lesion, delivering 
therapy in effective concentrations, completion angiography and the need for extra settings, all could 
accomplish the mission. 

Keywords