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Arteriovenous Malformation Treated With Embolization and Laser Therapy

Arteriovenous Malformation Treated With Embolization and Laser Therapy Abstract REPORT OF A CASE In March 1988, a 5-month-old baby girl was examined for a bright-red macular discoloration involving the lower two thirds of the left ear, extending down to the retroauricular and preauricular skin (Fig 1). Her left ear was markedly hypertrophic, compared with her right ear, and was warm to the touch. A bruit and a thrill were heard. The child's physical and cognitive development was otherwise normal.The patient was evaluated at age 8 months and again at age 1 year. At this time, the patient underwent magnetic resonance imaging and angiography. The arteriovenous malformation (AVM) had arteriovenous fistulization supplied primarily by the posterior and anterior auricular arteries (Fig 2, A). At the age of 16 months, the patient underwent selective embolization with cyanoacrylate isobutyl. The embolization was successful in devascularizing approximately 95% of the malformation (Fig 2, B). Following this procedure, the size of the left References 1. Trout HH III. Management of patients with hemangiomas and arteriovenous malformations . Surg Clin North Am. 1986;66:333-338. 2. Yakes WF, Haas DK, Parker SH, et al. Symptomatic vascular malformations: ethanol embolotherapy . Radiology . 1989;170:1059-1066.Crossref 3. Berenstein A, Kricheff II. Therapeutic vascular occlusion . J Dermatol Surg Oncol. 1978;4:874-880.Crossref 4. Edgerton MT. Vascular hamartomas and hemangiomas: classification and treatment . South Med J. 1982;75:1541-1547.Crossref 5. Mulliken JB. Classification of vascular birthmarks . In: Mulliken JB, Young AE, eds. Vascular Birthmarks: Hemangiomas and Malformations . Philadelphia, Pa: WB Saunders Co; 1988:24-37. 6. Finn MC, Glowacki J, Mulliken JB. Congenital vascular lesions: clinical application of a new classification . J Pediatr Surg. 1983;18:894-900.Crossref 7. Bartlett JA, Riding KH, Salkeld LJ. Management of hemangiomas of the head and neck in children . J Otolaryngol. 1988;17:11-20. 8. Larsen EC, Zinkham WH, Eggleston JC, Sitelli BJ. Kasabach-Merritt syndrome: therapeutic considerations . Pediatrics . 1987;79:971-980. 9. Riche MC, Merland JJ. Embolization of vascular birthmarks . In: Mulliken JB, Young AE, eds. Vascular Birthmarks: Hemangiomas and Malformations . Philadelphia, Pa: WB Saunders Co; 1988:436-453. 10. Kadir S, Ernst CB, Hamper U, White RIJ. Management of vascular soft tissue neoplasms using transcatheter embolization and surgical excision . Am J Surg. 1983;146:409-412.Crossref 11. Garden JM, Polla LL, Tan OT. The treatment of port-wine stains by the pulsed dye laser . Arch Dermatol. 1988;124:889-896.Crossref 12. Tan OT, Sherwood K, Gilchrest BA. Treatment of children with portwine stains using the flashlamp-pulsed tunable dye laser . N Engl J Med. 1989;320:416-421.Crossref 13. Cosman B. Experience in the argon laser therapy of portwine stains . Plast Reconstr Surg. 1980;65:119-129.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Arteriovenous Malformation Treated With Embolization and Laser Therapy

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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1991.01680100042002
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE In March 1988, a 5-month-old baby girl was examined for a bright-red macular discoloration involving the lower two thirds of the left ear, extending down to the retroauricular and preauricular skin (Fig 1). Her left ear was markedly hypertrophic, compared with her right ear, and was warm to the touch. A bruit and a thrill were heard. The child's physical and cognitive development was otherwise normal.The patient was evaluated at age 8 months and again at age 1 year. At this time, the patient underwent magnetic resonance imaging and angiography. The arteriovenous malformation (AVM) had arteriovenous fistulization supplied primarily by the posterior and anterior auricular arteries (Fig 2, A). At the age of 16 months, the patient underwent selective embolization with cyanoacrylate isobutyl. The embolization was successful in devascularizing approximately 95% of the malformation (Fig 2, B). Following this procedure, the size of the left References 1. Trout HH III. Management of patients with hemangiomas and arteriovenous malformations . Surg Clin North Am. 1986;66:333-338. 2. Yakes WF, Haas DK, Parker SH, et al. Symptomatic vascular malformations: ethanol embolotherapy . Radiology . 1989;170:1059-1066.Crossref 3. Berenstein A, Kricheff II. Therapeutic vascular occlusion . J Dermatol Surg Oncol. 1978;4:874-880.Crossref 4. Edgerton MT. Vascular hamartomas and hemangiomas: classification and treatment . South Med J. 1982;75:1541-1547.Crossref 5. Mulliken JB. Classification of vascular birthmarks . In: Mulliken JB, Young AE, eds. Vascular Birthmarks: Hemangiomas and Malformations . Philadelphia, Pa: WB Saunders Co; 1988:24-37. 6. Finn MC, Glowacki J, Mulliken JB. Congenital vascular lesions: clinical application of a new classification . J Pediatr Surg. 1983;18:894-900.Crossref 7. Bartlett JA, Riding KH, Salkeld LJ. Management of hemangiomas of the head and neck in children . J Otolaryngol. 1988;17:11-20. 8. Larsen EC, Zinkham WH, Eggleston JC, Sitelli BJ. Kasabach-Merritt syndrome: therapeutic considerations . Pediatrics . 1987;79:971-980. 9. Riche MC, Merland JJ. Embolization of vascular birthmarks . In: Mulliken JB, Young AE, eds. Vascular Birthmarks: Hemangiomas and Malformations . Philadelphia, Pa: WB Saunders Co; 1988:436-453. 10. Kadir S, Ernst CB, Hamper U, White RIJ. Management of vascular soft tissue neoplasms using transcatheter embolization and surgical excision . Am J Surg. 1983;146:409-412.Crossref 11. Garden JM, Polla LL, Tan OT. The treatment of port-wine stains by the pulsed dye laser . Arch Dermatol. 1988;124:889-896.Crossref 12. Tan OT, Sherwood K, Gilchrest BA. Treatment of children with portwine stains using the flashlamp-pulsed tunable dye laser . N Engl J Med. 1989;320:416-421.Crossref 13. Cosman B. Experience in the argon laser therapy of portwine stains . Plast Reconstr Surg. 1980;65:119-129.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Nov 1, 1991

References