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Head and neck
Hemostasis and obliteration of mandibular arteriovenous malformation through direct hydroxyapatite cement injection into the molar cavity
  1. Vicko Gluncic1,2,
  2. Russell R Reid2,
  3. Fuad M Baroody2,
  4. Lawrence J Gottlieb2,
  5. Sameer A Ansari1,2,3
  1. 1Department of Radiology, University of Chicago Medical Center, Chicago, Illinois, USA
  2. 2Department of Surgery, University of Chicago Medical Center, Chicago, Illinois, USA
  3. 3Department of Neurology, University of Chicago Medical Center, Chicago, Illinois, USA
  1. Correspondence to Sameer A Ansari, Director, Neurointerventional Service, Diagnostic and Interventional Neuroradiology, Departments of Radiology, Neurology, and Surgery, University of Chicago Medical Center, 5841 S. Maryland Avenue, MC-2026, Chicago, IL 60637, USA; sansari1{at}uchicago.edu

Abstract

A mandibular arteriovenous malformation (AVM) presented with massive molar socket bleeding and was emergently treated by tooth extraction and partial resection of the surrounding alveolar bone. To achieve hemostasis, the resultant cavity was filled with hydroxyapatite bone cement. Not only was hemostasis and alveolar reconstruction achieved, but follow-up angiography demonstrated venous outlet occlusion and retrograde AVM thrombosis requiring no further treatment.

  • Mandible
  • arteriovenous malformation
  • embolization
  • hydroxyapatite

https://doi.org/10.1136/jnis.2009.001982

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; not externally peer reviewed.