Successful anesthetic management of a 17-year-old patient with facial arterio-venous undergoing sclerotherapy: a case report

Nayana Kulkarni; Ajit Patil; Ravindra Tandale; Shital Patil; Rajnish Nagarkar

doi:10.18203/2349-3933.ijam20193302

Authors

Nayana Kulkarni Department of Anesthesia, HCG Manavata Cancer Centre, Nashik, Maharashtra, India
Ajit Patil Department of Anesthesia, HCG Manavata Cancer Centre, Nashik, Maharashtra, India
Ravindra Tandale Department of Anesthesia, HCG Manavata Cancer Centre, Nashik, Maharashtra, India
Shital Patil Department of Anesthesia, HCG Manavata Cancer Centre, Nashik, Maharashtra, India
Rajnish Nagarkar Department of Surgical Oncology, HCG Manavata Cancer Centre, Nashik, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20193302

Keywords:

Anesthetic management, Arteriovenous malformation, Difficult airway

Abstract

Arterio-venous malformations (AVM) are abnormal collection of blood vessels. They are rare congential vascular malformations that account for 1.5% of all vascular abnormalities while 50% of such cases occur in the oral and maxillofacial region. Facial AVM are uncommon. Patients presenting with AVMs require a complete investigation using precise clinical examination and advanced imaging modalities. The treatment of a patient with AVM includes a multi-step process. In this case, we report a case of extensive AVM in the face of a 17-year-olf female patient. The report primarily focuses on the successful anesthetic management for sclerotherapy along with insights on clinical characteristics and imaging manifestations. To the best of our knowledge, this is one of the few cases to be reported in India.

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References

Mulligan PR, Prajapati HJ, Martin LG, Patel TH. Vascular anomalies: classification, imaging characteristics and implications for interventional radiology treatment approaches. Brit J Radiol. 2014;87(1035):20130392.

Kumar A, Mittal M, Srivastava D, Jaetli V, Chaudhary S. Arteriovenous malformation of face. Contemp Clin Dent. 2017;8(3):482-4.

Cox JA, Bartlett E, Lee EI. Vascular malformations: a review. Seminars Plastic Surg. 2014;28(2):58-63.

Carqueja IM, Sousa J, Mansilha A. Vascular malformations: classification, diagnosis and treatment.Int Angiol. 2018 Apr;37(2):127-142.

Nosher JL, Murillo PG, Liszewski M, Gendel V, Gribbin CE. Vascular anomalies: a pictorial review of nomenclature, diagnosis and treatment. World J Radiol. 2014;6(9):677-92.

Neeta S, Rao R, Upadya M, Keerthi P. Arteriovenous malformation of face: a challenge to anesthesiologists. Anesth Essays Res. 2017;11(3):784-6.

Jain A, Panda NB, Kumar P. Induction of anesthesia in a case of impossible mask ventilation. Anesth Essays Res. 2010;4(1):46-8.

Vascular malformations: approach by an interventional radiologist. Semin Plast Surg. 2014;28(2):91-103.

Alakailly X, Kummoona R, Quereshy FA, Baur DA, González AE. The use of sodium tetradecyl sulphate for the treatment of venous malformations of the head and neck. J Maxillofac Oral Surg. 2014;14(2):332-8.

Kumar S, Kumar V, Kumar S, Kumar S. Management strategy for facial venous malformations. Natl J Maxillofac Surg. 2014;5(1):93-96.

Mishra M, Singh G, Gaur A, Tandon S, Singh A. Role of sclerotherapy in management of vascular malformation in the maxillofacial region: our experience. Natl J Maxillofac Surg. 2017;8(1):64-69.