Abstract
Introduction. Selective, transarterial embolization of vascular lesions through angiographic catheters,
which in superficial vasculopathies is often accompanied by intralesional local administration
of sclerosing agents, has been used for more than 65 years. However, the reported
experience with this therapeutic modality for head and neck lesions is rather limited.
Methods And Materials. In the current study we describe our experience with all 12 patients having major
head and neck vasculature pathologies who were admitted and treated by selective embolization
in our institution during a 5-year period. Results. Eight patients had congenital malformations, and 4 had acquired lesions induced by
trauma, irradiation, or anticoagulant therapy. Four cases were potentially life-threatening
because of severe blood loss and were thus treated immediately. In only 3 cases was
subsequent surgical resection of the lesion necessary. The therapy administered is
reported, and its outcome is discussed in respect to the available updated literature.
Conclusions. The reported high rate of success with no complications may be the result of careful
techniques and appropriate preoperative imaging, as well as the intraoperative and
perioperative treatment with steroids and the multiple intralesional puncture sessions
administered as necessary. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:127-31)
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Article info
Publication history
Accepted:
September 27,
2001
Received in revised form:
June 14,
2001
Received:
March 7,
2001
Footnotes
*Reprint requests: R. M. Nagler, DMD, MSc, PhD, Department of Oral and Maxillofacial Surgery, Rambam Medical Center, Haifa, Israel, [email protected]
Identification
Copyright
© 2002 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
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