Balloon Pressure Technique with the Scepter Mini Balloon as Part of the Endovascular Strategy for Brain Arteriovenous Malformations Embolization

Clarençon, Frédéric; Papagiannaki, Chrysanthi; Saleme, Suzanna; Rouchaud, Aymeric; Shotar, Eimad; Rius, Emily; Burel, Julien; Boch, Anne‐Laure; Sourour, Nader‐Antoine; Mounayer, Charbel

doi:10.1007/s00062-023-01309-8

Cited by 2 publications

(1 citation statement)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Different embolization techniques include the use of coils, liquid embolics, 76,77 and low-profile balloons for flow arrest. 78 Transarterial approaches are most effective when there are only a few feeding arteries and when performed with minimal number of sessions. 68 Several series have reported bAVM cure by standalone endovascular treatment in bAVMs with 1 to 3 arterial feeders.…”

Section: Endovascular Treatment Modalitiesmentioning

confidence: 99%

Most Promising Approaches to Improve Brain AVM Management: ARISE I Consensus Recommendations

Samaniego,

Dabus,

Meyers

et al. 2024

Stroke

View full text Add to dashboard Cite

Brain arteriovenous malformations (bAVMs) are complex, and rare arteriovenous shunts that present with a wide range of signs and symptoms, with intracerebral hemorrhage being the most severe. Despite prior societal position statements, there is no consensus on the management of these lesions. ARISE (Aneurysm/bAVM/cSDH Roundtable Discussion With Industry and Stroke Experts) was convened to discuss evidence-based approaches and enhance our understanding of these complex lesions. ARISE identified the need to develop scales to predict the risk of rupture of bAVMs, and the use of common data elements to perform prospective registries and clinical studies. Additionally, the group underscored the need for comprehensive patient management with specialized centers with expertise in cranial and spinal microsurgery, neurological endovascular surgery, and stereotactic radiosurgery. The collection of prospective multicenter data and gross specimens was deemed essential for improving bAVM characterization, genetic evaluation, and phenotyping. Finally, bAVMs should be managed within a multidisciplinary framework, with clinical studies and research conducted collaboratively across multiple centers, harnessing the collective expertise and centralization of resources.

show abstract

Section: Endovascular Treatment Modalitiesmentioning

confidence: 99%

Most Promising Approaches to Improve Brain AVM Management: ARISE I Consensus Recommendations

Samaniego,

Dabus,

Meyers

et al. 2024

Stroke

View full text Add to dashboard Cite

show abstract

Angiographic Evolution of Brain Arteriovenous Malformation Angioarchitecture After Partial Endovascular Treatment

Quarta Colosso,

Aubertin,

Rius

et al. 2024

Neurosurgery

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES: Endovascular embolization of brain arteriovenous malformations (AVMs) is sometimes intentionally partial, in the case of staged treatment for instance. Residual AVMs may be prone to angioarchitectural modification during follow-up. The objective of this work is to evaluate the nature and extent of these modifications. METHODS: We performed a retrospective monocentric study on a cohort of adult patients treated by incomplete endovascular embolization for ruptured and unruptured AVMs with an available angiographic follow-up, without any intervening confounding event between the 2 angiographic examinations. AVM angioarchitectural modifications (arterial, nidal, and venous) were analyzed. Clinical and radiological data were tested in univariate analyses for association with the occurrence of AVM regression or progression. RESULTS: Eighty-two partial embolization sessions in 57 patients were included in the study. A 40% (33/82) rate of modification was found on follow-up, with 23/82 (28%) controls showing at least one angioarchitectural regression feature and 15/82 (18.3%) showing at least one angioarchitectural progression item. Nidal growth was the most frequent modification occurring after 12/82 (14.6%) embolizations. The only factor associated with nidal volume growth was a longer time interval between embolization and follow-up (median [IQR]: 190 [250] days vs 89.5[133] days in the subgroup without nidal growth; P = .02). Specific modifications of arterial supply, nidal anatomy, and venous drainage were identified and documented. CONCLUSION: Angioarchitectural modifications (both progression and regression) of brain AVMs are frequent findings after partial embolization. Nidal volume growth is associated with longer time intervals between embolization and follow-up.

show abstract

Balloon Pressure Technique with the Scepter Mini Balloon as Part of the Endovascular Strategy for Brain Arteriovenous Malformations Embolization

Cited by 2 publications

References 23 publications

Most Promising Approaches to Improve Brain AVM Management: ARISE I Consensus Recommendations

Most Promising Approaches to Improve Brain AVM Management: ARISE I Consensus Recommendations

Angiographic Evolution of Brain Arteriovenous Malformation Angioarchitecture After Partial Endovascular Treatment

Contact Info

Product

Resources

About