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Transarterial Embolization and Transmucosal Sclerotherapy That Led to Successful Deliveries in a Patient With Symptomatic Arteriovenous Malformation of the Tongue

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Title: Transarterial Embolization and Transmucosal Sclerotherapy That Led to Successful Deliveries in a Patient With Symptomatic Arteriovenous Malformation of the Tongue
Authors: Fujita, Munezumi Browse this author
Yamamoto, Yuhei Browse this author →KAKEN DB
Sasaki, Satoru Browse this author
Oyama, Akihiko Browse this author
Funayama, Emi Browse this author
Furukawa, Hiroshi Browse this author →KAKEN DB
Keywords: Arteriovenous malformation
delivery
embolization
sclerotherapy
tongue
Issue Date: Oct-2017
Publisher: Lippincott Williams & Wilkins
Journal Title: Journal of craniofacial surgery
Volume: 28
Issue: 7
Start Page: e675
End Page: e678
Publisher DOI: 10.1097/SCS.0000000000003829
PMID: 28857995
Abstract: Patients with arteriovenous malformations (AVMs) are at risk of significant hemorrhage and AVMs are especially difficult to manage in those desiring future pregnancy. Few patients with successful deliveries have been previously reported. The authors report an unusual case of AVM of the tongue in a pregnant woman who presented with massive pulsatile bleeding from a ruptured artery in the tongue in late gestation, this was thought to be caused by the changes in hormonal balance and the increase in cardiac output. The bleeding was controlled with transarterial embolization and transmucosal absolute ethanol sclerotherapy. Furthermore, her second and third deliveries were successfully managed. The authors managed symptomatic tongue AVM by combining transarterial embolization and transmucosal sclerotherapy, which was followed by successful deliveries. This patient supports the utility of transmucosal absolute ethanol sclerotherapy for tongue AVM and multidisciplinary medical care for a successful delivery.
Rights: This is a non-final version of an article published in final form in Fujita, Munezumi; Yamamoto, Yuhei; Sasaki, Satoru; Oyama, Akihiko; Funayama, Emi; Furukawa, Hiroshi, Transarterial Embolization and Transmucosal Sclerotherapy That Led to Successful Deliveries in a Patient With Symptomatic Arteriovenous Malformation of the Tongue, Journal of Craniofacial Surgery, 2017, Volume 28, Issue 7, pp.e675–e678.
Type: article (author version)
URI: http://hdl.handle.net/2115/71568
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 藤田 宗純

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