TY - JOUR
T1 - The angiosome concept applied to arteriovenous malformations of the head and neck
AU - Mitchell, Erica L.
AU - Taylor, G. Ian
AU - Houseman, Nicholas D.
AU - Mitchell, Peter J.
AU - Breidahl, Alan
AU - Ribuffo, Diego
PY - 2001
Y1 - 2001
N2 - Arteriovenous malformations remain a difficult clinical problem. There is very little understanding of the underlying pathogenesis of these lesions, and therapy frequently involves considerable risks with suboptimal outcomes. Recently, a comprehensive description of the angiosomes of the head and neck was completed in the authors' unit. It was noticed that the location of several clinically observed arteriovenous malformations in the head and neck seemed to correspond to the anatomic location of the choke anastomotic zones linking the angiosomes. Therefore, selective clinical angiograms were compared with those from the authors' previously performed fresh cadaver injection studies, in which they defined the angiosomes of the head and neck. In each patient, the location of the arteriovenous malformation corresponded directly to the choke vessel anastomotic zone linking two or more adjacent angiosomes. Clinical and pathologic ramifications of this observation are discussed.
AB - Arteriovenous malformations remain a difficult clinical problem. There is very little understanding of the underlying pathogenesis of these lesions, and therapy frequently involves considerable risks with suboptimal outcomes. Recently, a comprehensive description of the angiosomes of the head and neck was completed in the authors' unit. It was noticed that the location of several clinically observed arteriovenous malformations in the head and neck seemed to correspond to the anatomic location of the choke anastomotic zones linking the angiosomes. Therefore, selective clinical angiograms were compared with those from the authors' previously performed fresh cadaver injection studies, in which they defined the angiosomes of the head and neck. In each patient, the location of the arteriovenous malformation corresponded directly to the choke vessel anastomotic zone linking two or more adjacent angiosomes. Clinical and pathologic ramifications of this observation are discussed.
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U2 - 10.1097/00006534-200103000-00001
DO - 10.1097/00006534-200103000-00001
M3 - Article
C2 - 11304587
AN - SCOPUS:0035123144
SN - 0032-1052
VL - 107
SP - 633
EP - 646
JO - Plastic and reconstructive surgery
JF - Plastic and reconstructive surgery
IS - 3
ER -