Endovascular management of a mandibular arteriovenous malformation in a patient with severe hemophilia a |
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Authors: | Benndorf Goetz Kim Doris M Menneking Horst Klein Martin |
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Institution: | Department of Radiology, Virchow Hospital, Charité, Humboldt University, Berlin, Germany. |
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Abstract: | The unusual case of a mandibular arteriovenous malformation in a patient with severe hemophilia A and hepatitis C is reported. Supplementary substitution of various coagulation factors allowed direct puncture and intralesional injection of a liquid adhesive, resulting in complete anatomic and clinical cure without peri- or postoperative bleeding. Replacement therapy providing normal levels of relevant coagulation factors enables endovascular treatment in a safe and effective manner in hemophiliac patients. |
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