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Pre-operative embolization of auricular arteriovenous fistula

Published online by Cambridge University Press:  08 March 2006

Jayapalli Rajiv Bapuraj ,
Rakesh Bilwani ,
Niranjan Khandelwal ,
Ashok Kumar Gupta ,
Vikas I. Nehru  and
Sudha Suri
Jayapalli Rajiv Bapuraj
Affiliation:
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012, India.
Rakesh Bilwani
Affiliation:
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012, India.
Niranjan Khandelwal
Affiliation:
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012, India.
Ashok Kumar Gupta
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh – 160 012, India.
Vikas I. Nehru
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh – 160 012, India.
Sudha Suri
Affiliation:
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012, India.
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Abstract

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Treatment of auricular arteriovenous fistula (AVF) is a challenge with surgery being the preferred option until now. We present three cases of auricular AVFs who underwent pre-operative embolization and its outcome on surgery. Three patients were diagnosed to have auricular AVF by angiography. All three patients underwent pre-operative embolization with n-butyl 2-cyanoacrylate after which they underwent surgical resection of the AVF. Pre-operative embolization resulted in significant devascularization of the AVF thus leading to near bloodless and clean surgery. Pre-operative embolization of auricular AVFs is a good treatment option, leading to significantly reduced blood loss during surgical excision.

Keywords

ExternalArteriovenous FistulaEmbolisationTherapeutic
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 116 , Issue 1 , January 2002 , pp. 42 - 45
Copyright
© Royal Society of Medicine Press Limited 2002