An unusual congenital arteriovenous fistula of the vertebral artery and its embolization by a detachable balloon catheter

Brassel, Friedhelm; Solymosi, L.

doi:10.1007/bf01795701

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…Initially a detachable balloon was used as the permanent embolic device. 3) 9) 14) 17) 18) 19) Thereafter, a single-lumen balloon-assisted embolization using Onyx was used for dural AVF. 2) 6) 11) 15) 16) They applied a single-lumen balloon microcatheter followed by a conventional DMSO compatible microcatheter (proximal balloon and distal microcatheter) into the feeding artery and performed the ballooning of a single-lumen balloon microcatheter followed by Onyx injection via the DMSO compatible microcatheter, during which the microcatheter was jailed against the vessel wall.…”

Section: Discussionmentioning

confidence: 99%

Transarterial Balloon-assisted Onyx Embolization of Intracranial Arteriovenous Malformations Using a Dual-lumen Balloon Microcatheter: Two Case Reports

Kim

Kong

2017

J Cerebrovasc Endovasc Neurosurg

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The Onyx system has been well established in recent years as a very important material in the treatment of arteriovenous malformations (AVMs). When using the Onyx, it is essential to wait for the creation of a plug around the tip of the catheter, which enables the effective forward penetration of Onyx. Recent reports have shown that the introduction of a dimethyl sulfoxide compatible dual-lumen balloon microcatheter improves the efficiency of AVM embolization. We report our recent experience of two cases of intracranial AVM embolization using Onyx and the transarterial balloon-assisted technique. In both cases, the procedures were successfully performed and the nidus of the AVM was totally occluded in a relatively short time. This technique may enable immediate forward flow and penetration of Onyx without concern about reflux. It may also reduce the procedure time and increase the angiographic occlusion rate. Navigation of the dual-lumen balloon microcatheter nevertheless remains a challenge.

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Section: Discussionmentioning

confidence: 99%

Transarterial Balloon-assisted Onyx Embolization of Intracranial Arteriovenous Malformations Using a Dual-lumen Balloon Microcatheter: Two Case Reports

Kim

Kong

2017

J Cerebrovasc Endovasc Neurosurg

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Vaskuläre Fehlbildungen bei Kindern: Einteilung, Diagnostik, interventionelle Therapie

Meila

Brassel

2018

Pädiatrische Neurochirurgie

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Evolution of Embolic Agents in Interventional Neuroradiology

Brassel

Meila

2015

Clin Neuroradiol

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The growth in understanding of the pathophysiological relationships between various neurovascular diseases in the past decades has increased the significance and need for endovascular treatment. Consequently, an extraordinary development of different embolic agents was indispensable. The present work first presents the historical milestones in the discovery of various embolic materials used for neurovascular interventions. In the second part, the current endovascular embolization procedures, requiring both liquid and solid embolic agents, are discussed. In some cases and diseases the combination of both may be mandatory. Special emphasis is placed on the consideration needed when choosing appropriate embolic materials, chiefly depending on the goal of the endovascular procedure. Furthermore, the present understanding of the specifics in angioarchitecture and hemodynamics, leading to the most suitable form of access to the vascular lesion, will be covered. Regarding the latter, it is important to note that the aim should always be to achieve optimal superselectivity while being aware of all approaches, ranging from transarterial and transvenous to direct puncture. Finally, based on the limitations of the currently available embolic materials, we present a brief outlook on the future of new liquid and solid embolic agents.

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An unusual congenital arteriovenous fistula of the vertebral artery and its embolization by a detachable balloon catheter

Cited by 5 publications

References 10 publications

Transarterial Balloon-assisted Onyx Embolization of Intracranial Arteriovenous Malformations Using a Dual-lumen Balloon Microcatheter: Two Case Reports

Transarterial Balloon-assisted Onyx Embolization of Intracranial Arteriovenous Malformations Using a Dual-lumen Balloon Microcatheter: Two Case Reports

Vaskuläre Fehlbildungen bei Kindern: Einteilung, Diagnostik, interventionelle Therapie

Evolution of Embolic Agents in Interventional Neuroradiology

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