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구상완,김동건,김동익 ( Sang Wahn Koo,Dong Kun Kim,Dong Ik Kim ) 대한피부과학회 1991 대한피부과학회지 Vol.29 No.5
Superselective embolization, which enables vital vessels to be protected, while embolizing feeding vessels to the nidus only, has been popularized by Serbinenko in 1971 and there after it has beem used in the treatment of arteriovenous malformation(AVM) mainly for two purposes;first, as a preoperative adjunct to decrease vascularity prior to excision and second, as the principal mode of therapy in unresectable AVM`s. A 23-year-old male was presented with a purple-colored nodule o? 4㎝ in diameter on the left cheek. Angiography revealed an AVM supplied with the oranches of the facial, transverse facial and maxillary arteries. Polyvinyl alcohol, a nonabsorbable permanent solid embolic material, was used to occlude the branches to the nidus, and after the procedure the angiogram demonstrated greatly reduced blood supply to the nidus of the tumor. After a month of the embolization, the tumor decreased considerably in size with the improvement of color.