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Nonsurgical treatment of scalp arteriovenous malformation using a combination of ultrasound-guided thrombin injection and transarterial coil embolization 

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Presentation on theme: "Nonsurgical treatment of scalp arteriovenous malformation using a combination of ultrasound-guided thrombin injection and transarterial coil embolization "— Presentation transcript:

1 Nonsurgical treatment of scalp arteriovenous malformation using a combination of ultrasound-guided thrombin injection and transarterial coil embolization  Isao Nishijima, MD, Ryo Ikemura, MD, Masuichi Gushiken, MD, Kazufumi Miyagi, MD, Kiyoshi Iha, MD  Journal of Vascular Surgery  Volume 55, Issue 3, Pages (March 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Bleeding of the arteriovenous malformation was successfully stopped by local compression. B, The multidetector-row computed tomography volume-rendered image shows the nidus of the arteriovenous malformation located in the left retroauricular region. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Ultrasound-guided thrombin injection. A, Blood flow to the nidus was restricted. B, Thrombin was slowly and continuously injected under ultrasound guidance. C, Thrombus formation was observed in the nidus after thrombin injection. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Left external carotid angiogram shows that after the ultrasound-guided thrombin injection, blood flow in the arteriovenous malformation was completely occluded. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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