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KMID : 1103720110650030229
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Journal of the Korean Society of Radiology
2011 Volume.65 No. 3 p.229 ~ p.233
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Direct Puncture Embolization of Scalp Arteriovenous Malformation in a Patient with Severe Hemophilia A: A Case Report
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Lee Kyung-Mi
Kim Eui-Jong
Park Bong-Jin
Kim Keon-Ha
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Abstract
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We present a case of scalp arteriovenous malformation (AVM) in a patient with severe hemophilia A. The 22-year-old man presented with a pulsatile right parietal scalp mass. Digital subtraction angiography revealed an AVM in the right parietal scalp, supplied by superficial temporal and occipital arteries that drained into multiple venous structures. We successfully performed direct puncture embolization followed by surgical resection of the scalp AVM in conjunction with supplemental infusion of coagulation factor VIII before, during and after the embolization and the operation.
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KEYWORD
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Scalp AVM, Hemophilia A , Endovascular Treatment , Direct Puncture Embolization , Coagulation Factor VIII
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