scholarly journals Surgical feed ligation performed in 22 year old female with scalp arteriovenous malformation

2019 ◽  
Vol 7 (7) ◽  
pp. 2829
Author(s):  
Nyoman Gde Trizka Santhiadi ◽  
I. Nyoman Semadi
Keyword(s):  
Arteriovenous Malformation ◽  
Superficial Temporal Artery ◽  
Vascular Anatomy ◽  
Major Complication ◽  
Surgical Excision ◽  
Temporal Artery ◽  
Endovascular Embolization ◽  
Pulsatile Mass ◽  
History Of ◽  
Feeding Vessel

Scalp arteriovenous malformation (AVM) are rare conditions that usually need surgical treatment. Its management is difficult because of its high shunt flow, complex vascular anatomy, and possible cosmetic complication. The etiology of scalp AVM may be spontaneous or traumatic. This vascular lesion present as scalp lump or a mass, grotesque, pulsatile mass with a propensity to massive haemorrhage. Various treatment option that have been adopted to treat these lesions include surgical excision, ligation of feeding vessel, trans arterial and transvenous embolization, injection of sclerosant into the nidus and electro thrombosis. A 22-years-old-female referred to cardiothoracic division with a 10 years history of a large fronto-parietal pulsatile reddish soft mass, progressively increasing in size, measuring about 15x6x2 cm, ulcerated area; without any symptoms and history of trauma. Three-dimensional CT angiography demonstrated a mass that was completely within the scalp and prominent vascular that was completely within the scalp and was not associated with bone or periosteum. The feeding arteries were originated from angular artery, supratrochlear artery, left and right superficial temporal artery. Surgical excision and ligation of feeding vessel was performed without complication. With pre-operative appropriate surgical planning, scalp AVM can be excised safely without any major complication. Though some cases may be treated with percutaneous or endovascular embolization, surgery remains the treatment of choice. In the event of scalp ulceration and haemorrhage, total excision is the only option.

scholarly journals Case Report: SPONTANEOUS (TRUE) ANEURYSM OF THE SUPERFICIAL TEMPORAL ARTERY

2017 ◽  
Vol 53 (2) ◽  
pp. 159
Author(s):  
Ivan Joalsen ◽  
G Sianturi ◽  
M Niasari
Keyword(s):  
Histopathological Examination ◽  
Superficial Temporal Artery ◽  
Previous History ◽  
Temporal Artery ◽  
True Aneurysm ◽  
Post Operative Period ◽  
Pulsatile Mass ◽  
Severe Hemorrhage ◽  
History Of ◽  
Temporal Side

Spontaneous aneurysms of the superficial temporal artery (STA) are rare. Although STA aneurysms have a relatively benign course, when compared with aneurysms of larger caliber arteries, they may occasionally lead to severe hemorrhage and be associated with a multitude of bothersome symptoms. The objective of this study was to report a case of 72-year old male presented with spontaneous STA aneurysm. A 72 years old male presented with a lump on his right temporal side without any previous history of trauma and there was history of long standing hypertension. The lump had first been noticed 2 years before and it had been gradually increasing in size especially within last 6 months. On physical examination there was a pulsatile mass around 2 cm in diameter just above right ear. There was no thrill and bruit. CT angiography showed findings compatible with a STA aneurysm. The patient underwent proximal and distal ligation of the superficial temporal artery and excision of the aneurysm. Histopathological examination confirmed a true aneurysm of STA. The post operative period was uneventful. In conclusion, spontaneous STA aneurysm was best managed by surgical procedure. It consists of ligation and excision. It is simple, safe, and avoids recurrence.

Endovascular embolization of a traumatic arteriovenous fistula of the superficial temporal artery

2005 ◽  
Vol 119 (4) ◽  
pp. 322-324 ◽  
Author(s):  
O J H Whiteside ◽  
P Monksfield ◽  
N B Steventon ◽  
J Byrne ◽  
M J Burton
Keyword(s):  
Surgical Treatment ◽  
Arteriovenous Fistula ◽  
Superficial Temporal Artery ◽  
Rare Condition ◽  
Temporal Artery ◽  
Endovascular Embolization ◽  
History Of

Arteriovenous fistula of the superficial temporal artery is a rare condition most commonly caused by trauma. Traditional surgical treatment has been superseded by endovascular embolization. We present the case of a 40year-old man with a traumatic arteriovenous fistula of the superficial temporal artery who was treated by endovascular embolization. The advantages of this approach are discussed, along with a brief history of the condition

Embolization of a Superficial Temporal Artery to Middle Cerebral Artery Bypass: Case Report

Neurosurgery ◽  
1983 ◽  
Vol 12 (3) ◽  
pp. 342-345 ◽  
Author(s):  
Frances K. Conley
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Internal Carotid ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Bilateral Carotid ◽  
History Of ◽  
Internal Carotid Arteries ◽  
Bilateral Carotid Artery

Abstract This case history of a man with bilateral carotid artery occlusions presents angiographic documentation of the embolization of a superficial temporal-middle cerebral artery bypass. The embolic source was thrombotic and/or atheromatous debris that had collected in the persistent stump of one of the occluded internal carotid arteries.

scholarly journals Embolization of Bleeding Pinna Arteriovenous Malformation after Ligation of the External Carotid Artery: A Therapeutic Challenge

2017 ◽  
Vol 01 (03) ◽  
pp. 184-189
Author(s):  
Rahul Kumar ◽  
Ankur Goyal ◽  
Ashu Bhalla ◽  
Sonia Sandip ◽  
Kapil Sikka
Keyword(s):  
Carotid Artery ◽  
Arteriovenous Malformation ◽  
Percutaneous Treatment ◽  
Endovascular Embolization ◽  
External Carotid Artery ◽  
External Carotid ◽  
Resonance Imaging ◽  
Percutaneous Embolization ◽  
History Of

AbstractA 25-year-old patient presented with bleeding of right pinna arteriovenous malformation (AVM). There was history of ipsilateral external carotid artery (ECA) ligation 10 years back. Subsequent investigations (ultrasound, magnetic resonance imaging, digital subtraction angiography) showed recruitment of complex collaterals from the ipsilateral subclavian artery and vertebral artery feeding the recurrent nidus. The patient underwent two sessions of endovascular embolization and one session of percutaneous embolization. We wish to highlight the feasibility of antegrade embolization in such cases via collaterals and role of direct percutaneous treatment.

Intraparotid Superficial Temporal Artery Arteriovenous Malformation Causing Persistent Pulsatile Tinnitus

2020 ◽  
Vol 41 (7) ◽  
pp. e873-e875
Author(s):  
Anne Morgan Selleck ◽  
Brendan O’Connell ◽  
Samip Patel ◽  
Joseph Madison Clark
Keyword(s):  
Arteriovenous Malformation ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Pulsatile Tinnitus

Treatment of temporal artery pseudoaneurysms

Vascular ◽  
2013 ◽  
Vol 22 (4) ◽  
pp. 274-279 ◽  
Author(s):  
Irene Thomassen ◽  
Elisabeth G Klompenhouwer ◽  
Edith M Willigendael ◽  
Joep AW Teijink
Keyword(s):  
Superficial Temporal Artery ◽  
Surgical Excision ◽  
Temporal Artery ◽  
Primary Treatment ◽  
Treatment Modalities ◽  
Diagnostic Process ◽  
Thrombin Injection ◽  
Invasive Treatment ◽  
Artery Pseudoaneurysm ◽  
Primary Treatment Modality

Purpose To give an overview of the etiology and diagnostic process of superficial temporal artery pseudoaneurysms and to evaluate different treatment modalities. Basic methods PubMed was used for searching multiple databases for relevant clinical studies. Principal findings A total of 62 studies were included, harboring 82 patients. Surgical excision is the most frequently described treatment, but less invasive treatment modalities as coiling and thrombin injections are gaining popularity. Surgical treatment was successful in all cases (67/67). Endovascular treatment was successful in 69% (9/13); the five cases treated with thrombin injection were all successful. Complementary, a description of our experience with thrombin injection is given. Conclusions Limited evidence of minimal invasive treatment for superficial temporal artery pseudoaneurysm is available. Based on this review combined with our limited experience, we suggest thrombin injections to be considered as the future primary treatment modality. In the case of unsuccessful exclusion of the aneurysm, surgical excision can be performed.

Successful excision of a juvenile-type spinal arteriovenous malformation following intraoperative embolization

1991 ◽  
Vol 75 (4) ◽  
pp. 647-651 ◽  
Author(s):  
Hajime Touho ◽  
Jun Karasawa ◽  
Hisashi Shishido ◽  
Keisuke Yamada ◽  
Keiji Shibamoto
Keyword(s):  
Arteriovenous Malformation ◽  
Surgical Excision ◽  
Cervicothoracic Junction ◽  
Content Type ◽  
Spinal Arteriovenous Malformation ◽  
Large Size ◽  
Juvenile Type ◽  
Rapid Flow ◽  
History Of ◽  
Progressive Paraparesis

✓ The case of a 57-year-old woman with a 14-year history of progressive paraparesis is presented. Selective spinal angiography revealed a juvenile-type spinal arteriovenous malformation (AVM) with a typical large size and rapid flow. The AVM was located primarily in the retromedullary space at the cervicothoracic junction. The AVM was successfully obliterated by intraoperative embolization using isobutyl-2-cyanoacrylate and surgical excision.

A Surgical Case of Delayed Coil Migration After Balloon-Assisted Embolization of an Intracranial Broad-Neck Aneurysm: Case Report

2010 ◽  
Vol 67 (suppl_2) ◽  
pp. onsE516-onsE521 ◽  
Author(s):  
Hiroaki Motegi ◽  
Masanori Isobe ◽  
Toyohiko Isu ◽  
Hiroyasu Kamiyama
Keyword(s):  
Coil Embolization ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Tension Headache ◽  
Temporal Artery ◽  
Carotid Bifurcation ◽  
Endovascular Embolization ◽  
Parent Artery ◽  
Ischemic Attack ◽  
Coil Migration

ABSTRACT BACKGROUND AND IMPORTANCE: Balloon-assisted coil placement is an important technique for coil embolization of broad-neck aneurysms. With this technique, we can prevent coil migration into a parent artery during a procedure. Complications of intraprocedural coil migration have been reported in the literature. However, delayed coil migration is extremely rare. We present a case of delayed coil migration after balloon-assisted coil embolization and describe our management of this complication. CLINICAL PRESENTATION: A 59-year-old man presented with hypertension and a tension headache. Clinical evaluation incidentally discovered an unruptured broad-neck aneurysm at the left internal carotid bifurcation. Endovascular embolization of the aneurysm was performed with a balloon-assisted technique. The patient had a transient ischemic attack, and a skull radiograph showed coil migration 3 months after the procedure. We performed an operation to remove the coils and to clip the aneurysm with superficial temporal artery and middle cerebral artery bypass. The patient was discharged without neurological deficit. CONCLUSION: This is a rare case in which delayed coil migration into the parent artery occurred after balloon-assisted coil embolization, highlighting the importance of surgical management of delayed coil migration.

scholarly journals Successful endovascular treatment of extracranial arteriovenous malformation of a head: a case report

2019 ◽  
Vol 10 (4) ◽  
pp. 40-48
Author(s):  
A. A. Sufianov ◽  
S. M. Karasev ◽  
R. R. Khafizov ◽  
R. R. Rustamov ◽  
R. A. Sufianov ◽  
...  
Keyword(s):  
Case Report ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Vascular Supply ◽  
Endovascular Embolization ◽  
Maximum Effect ◽  
Facial Soft Tissue ◽  
Soft Tissue Necrosis ◽  
Endovascular Methods ◽  
The Right

Introduction. Arteriovenous malformations (AVM) of the head represent the rare lesions that have a congenital, traumatic or post-infectious nature. In the last decade, endovascular methods have become the most prevalent in the treatment of AVM. Staged embolization is performed to achieve maximum effect and minimize the complications.Case report. A 30-year-old female patient is presented with complaints of enlarged vessels in the frontal and parietal regions. CT-angiography scan and cerebral angiography showed extracranial AVM of the fronto-parietal regions with afferent vascular supply from the right and left superficial temporal and ophtalmic arteries with significant expansion of the afferent arteries and the presence of varix dilatation of the draining veins. Two-stage endovascular embolization of AVM was performed. The first stage was embolization of the afferent vessels from the left superficial temporal artery system with exclusion of 60–65% AVM volume. Three months later, the second stage was performed with embolization of the afferent vessels from the right superficial temporal artery system and the exclusion of 75–80% of the residual volume of AVM. The non-adhesive composition SQUIDR12 (Emboflu, Switzerland) and glue composition PHILR25% (Microvention, USA) were used. A good aesthetic effect was achieved. Postoperative complications were not observed. There was no recurrence during the observation within a year.Summary. The staging and the use of various liquid embolization agents in the treatment of AVM of the head allow to achieve a good aesthetic outcome and prevent complications associated with facial soft tissue necrosis.

scholarly journals 1588 A Rare Case of Arteriovenous Malformation Following TMJ Arthroscopy: A Case Report and Review of The Literature

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Farooq ◽  
R Sarai ◽  
K McMillan
Keyword(s):  
Arthroscopic Surgery ◽  
Superficial Temporal Artery ◽  
Surgical Excision ◽  
Temporal Artery ◽  
Av Fistula ◽  
Operative Complication ◽  
Normal Limits ◽  
Gradual Onset ◽  
Preauricular Approach ◽  
The Right

Abstract Patients undergo temporo-mandibular joint (TMJ) arthroscopy as part of the diagnosis and management of chronic pain in the TMJ. Known complications of the procedure include bleeding within the joint spaces, lacerations of the external auditory canal and local nerve damage. We present the case of a 25-year-old woman who developed an arteriovenous fistula in the right pre-auricular region secondary to TMJ arthroscopic examination. She had presented with ongoing TMJ pain necessitating further investigation with arthroscopy. Following her procedure her TMJ symptoms improved, however she developed right pre-auricular swelling of gradual onset, right-sided headaches, and pulsatile tinnitus. Due to her pregnancy of around 16 weeks this was originally linked to expansion in plasma volume and hyperdynamic circulation; however, this was later diagnosed as an extremely rare, post-operative complication of TMJ arthroscopy. Her examination revealed a pre-auricular pulsatile swelling measuring approximately 1.5 cm. Blood tests including ESR and CRP were within normal limits excluding temporal arteritis. An ultrasound scan revealed an AV fistula of the right superficial temporal artery; Her MRI confirmed single vessel supply. Following discussion in the vascular anomalies MDT, she underwent embolisation with PHIL and surgical excision via a preauricular approach. The procedure was successful, and the patient made a full recovery. The literature reports very few cases of iatrogenic arterio-venous fistulas resulting from TMJ arthroscopic surgery. Our case emphasises the importance of a multidisciplinary approach in combining embolisation with surgical excision resulting in the successful management of a rare post-operative complication.

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