Embolization in high-flow arteriovenous malformations of the face

Ann Plast Surg. 1992 Jun;28(6):575-83.


Five patients with arteriovenous malformations of the face (4 males and 1 woman; age range, 11-38 years) were treated by selective embolization through the feeding arteries with polyvinyl alcohol particles. Immediate gross angiographical obliteration was obtained in 4 patients, with pronounced reduction of the arteriovenous shunt in the fifth. Clinical symptoms including bleeding, swelling, pulsations, bruit, and disfigurement improved in all the patients followed up for a period of 6 to 21 months. Polyvinyl alcohol particle embolization, without surgical resection, though palliative could be useful in select patients. The classification and diagnosis of congenital vascular malformations is briefly reviewed and treatment discussed.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Angiography
  • Arteriovenous Malformations / diagnostic imaging
  • Arteriovenous Malformations / therapy*
  • Child
  • Embolization, Therapeutic / methods*
  • Face / blood supply*
  • Facial Neoplasms / diagnostic imaging
  • Facial Neoplasms / therapy*
  • Female
  • Hemangioma / diagnostic imaging
  • Hemangioma / therapy*
  • Humans
  • Male
  • Particle Size
  • Polyvinyl Alcohol / administration & dosage


  • Polyvinyl Alcohol