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Abstract：
BACKGROUND: Scalp AVM (SAVM) is a rare condition. Although surgical excision is considered as definitive treatment for these lesions, troublesome intraoperative bleeding may pose a challenge. Embolization as an alternative modality is gaining popularity. Proximal feeding artery temporary clipping has been utilized by the authors in this series to address troublesome intraoperative bleeding.
UNASSIGNED: The authors present their experience in the surgical management of 3 cases with SAVMs using proximal feeding artery temporary occlusion followed by total surgical excision. The clinical presentations and radiological features of these cases are discussed in the article. Intraoperative blood loss was less than 150ml in all patients. Postoperative period was uneventful with no morbidity or mortality.
CONCLUSIONS: Intraoperative bleeding during surgical excision of scalp AVMs can be troublesome and challenging. To combat this, the authors advocate proximal feeding artery temporary clipping prior to surgical excision of the lesion. The external carotid artery was temporarily clipped in one case and superficial temporal artery in two patients.
CONCLUSIONS: Although most SAVMs can be operated by traditional method of excision, use of temporary clipping of feeding arteries (like Superficial temporal artery[STA], External carotid artery[ECA]) enables total excision of giant SAVMs with minimal blood loss for a definitive cure. This novel technique obviates the need for preoperative embolization.
UNASSIGNED: The authors present their experience in the surgical management of 3 cases with SAVMs using proximal feeding artery temporary occlusion followed by total surgical excision. The clinical presentations and radiological features of these cases are discussed in the article. Intraoperative blood loss was less than 150ml in all patients. Postoperative period was uneventful with no morbidity or mortality.
CONCLUSIONS: Intraoperative bleeding during surgical excision of scalp AVMs can be troublesome and challenging. To combat this, the authors advocate proximal feeding artery temporary clipping prior to surgical excision of the lesion. The external carotid artery was temporarily clipped in one case and superficial temporal artery in two patients.
CONCLUSIONS: Although most SAVMs can be operated by traditional method of excision, use of temporary clipping of feeding arteries (like Superficial temporal artery[STA], External carotid artery[ECA]) enables total excision of giant SAVMs with minimal blood loss for a definitive cure. This novel technique obviates the need for preoperative embolization.
摘要：
背景：头皮AVM（SAVM）是一种罕见的疾病。尽管手术切除被认为是这些病变的最终治疗方法，麻烦的术中出血可能构成挑战。栓塞作为一种替代方式越来越受欢迎。在本系列文章中，作者已使用近端供血动脉临时夹闭来解决麻烦的术中出血问题。
■作者介绍了他们在3例SAVMs的手术治疗中的经验，这些SAVMs采用近端供血动脉暂时闭塞，然后进行全手术切除。本文讨论了这些病例的临床表现和放射学特征。所有患者术中出血量均小于150ml。术后期间平稳，无发病率或死亡率。
结论：手术切除头皮AVM的术中出血可能是麻烦和挑战性的。为了解决这个问题，作者主张在手术切除病变前进行近端摄食动脉临时夹闭.1例临时夹闭颈外动脉，2例临时夹闭颞浅动脉。
结论：尽管大多数SAVM可以通过传统的切除方法进行操作，使用临时夹闭供血动脉(如颞浅动脉[STA]，颈外动脉[ECA]）可以完全切除巨大的SAVM，而失血最少，以最终治愈。这种新技术消除了术前栓塞的需要。
■作者介绍了他们在3例SAVMs的手术治疗中的经验，这些SAVMs采用近端供血动脉暂时闭塞，然后进行全手术切除。本文讨论了这些病例的临床表现和放射学特征。所有患者术中出血量均小于150ml。术后期间平稳，无发病率或死亡率。
结论：手术切除头皮AVM的术中出血可能是麻烦和挑战性的。为了解决这个问题，作者主张在手术切除病变前进行近端摄食动脉临时夹闭.1例临时夹闭颈外动脉，2例临时夹闭颞浅动脉。
结论：尽管大多数SAVM可以通过传统的切除方法进行操作，使用临时夹闭供血动脉(如颞浅动脉[STA]，颈外动脉[ECA]）可以完全切除巨大的SAVM，而失血最少，以最终治愈。这种新技术消除了术前栓塞的需要。
