Transarterial Coil-Augmented Onyx Embolization for Brain Arteriovenous Malformation Technique and Experience in 22 Consecutive Patients
| Autor: | Jingyuan Li, Peng Cao, Zhiqing Li, Xiaogang Wang, Guo-Biao Liang, Xu Gao, Jun Chen, Chunyong Yu |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Intracranial Arteriovenous Malformations Male medicine.medical_specialty Adolescent medicine.medical_treatment Radiography Arteriovenous fistula Hemostatics Young Adult medicine Humans Dimethyl Sulfoxide Embolization Endovascular treatment Child Aged business.industry Onyx embolization Arteriovenous malformation Original Articles Recovery of Function Cerebral Arteries Middle Aged medicine.disease Combined Modality Therapy Embolization Therapeutic Procedural complication Treatment Outcome Arteriovenous Fistula Female Polyvinyls Radiology business |
| Zdroj: | Interventional Neuroradiology. 20:83-90 |
| ISSN: | 2385-2011 1591-0199 |
| Popis: | Onyx has been widely adopted for the treatment of arteriovenous malformations (AVMs). However, its control demands operators accumulate a considerable learning curve. We describe our initial experience using a novel injection method for the embolization of AVMs. We retrospectively reviewed the data of all 22 patients with brain AVMs (12 men, 10 women; age range, 12–68 years; mean age, 43.2 years) treated by the transarterial coil-augmented Onyx injection technique. The size of the AVMs ranged from 25 mm to 70 mm (average 35.6 mm). The technical feasibility of the procedure, procedure-related complications, angiographic results, and clinical outcome were evaluated. In every case, endovascular treatment (EVT) was completed. A total of 31 sessions were performed, with a mean injection volume of 6.1 mL (range, 1.5–16.0 mL). An average of 96.7% (range 85%-100%) estimated size reduction was achieved, and 18 AVMs could be completely excluded by EVT alone. The results remained stable on follow-up angiograms. A procedural complication occurred in one patient, with permanent mild neurologic deficit. Our preliminary series demonstrated that the coil-augmented Onyx injection technique is a valuable adjunct achieving excellent nidal penetration and improving the safety of the procedure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|