A total of eleven cases of huge arteriovenous malformation in the extremities, trunk, and the head and neck regions were treated with or without preoperative superselective transarterial embolization followed by a wide resection and immediate reconstruction with either free flaps or skin grafting. Seven cases were repaired with free flap transfers involving three deep inferior epigastric perforator (DIEP) flaps, two anterolateral thigh flaps, one groin perforator flap, one wrap-around flap, and one vein graft to reconnect the posterior tibial system in the lower leg. It is concluded that selective transarterial embolization followed by a wide resection with immediate free flap transfers is the best method for huge arteriovenous malformations.
|Number of pages||9|
|Journal||Japanese Journal of Plastic and Reconstructive Surgery|
|Publication status||Published - Jan 1 2001|
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