Ethanol Endovascular Management of Brain Arteriovenous Malformations: Initial Results

Abstract

Progressive and permanent AVM occlusion is a common finding in arteriographic follow-up evaluations. In no patients did arterial recanalization or the neovascular recruitment phenomenon occur. Our initial results indicate that ethanol has a permanence that is seldom encountered with other embolic agents. With aggressive decadron therapy, the complications related to swelling in the brain are largely reversible.

Transcatheter Embolization of a Large Symptomatic Pelvic Arteriovenous Malformation with Glubran 2 Acrylic Glue

“…Another advantage of Glubran 2 is its relatively low cost. Other liquid embolic agents described in literature which can offer an alternative are absolute alcohol and ethylene vinyl alcohol (Onyx) [9,10]. A major concern with absolute alcohol is its cardiac effect and, in agreement with Jacobowitz et al [3], we believe that absolute alcohol should be reserved for venous The postembolization angio-VCT shows the complete devascularization of the pAVM malformations, where low flow allows the alcohol to remain at the injection site.…”

“…Glubran 2 acrylic glue (GEM, Viareggio, Italy) has been used in the treatment of cerebral vascular anomalies in an experimental study without major complications [10], and we have had experience using this embolic agent in patients with post-traumatic priapism [9]. We therefore chose Glubran 2 as the embolic agent.…”

Ethanol Embolization of Arteriovenous Malformations of the Mandible

“…In AVMs, these changes are desirable and account for the curative effects and permanence of ethanol embolization. 10 It was usually believed that intravascular ethanol therapy would be far too hazardous for general use. However, in 1996, Yakes et al 9 described curative treatment of an extremity AVM with absolute ethanol.…”

Modification de l’index bispectral suite à une embolisation avec alcool absolu chez un patient souffrant de malformation artérioveineuse intracrânienne

“…Cerebral embolotherapy is one of the established techniques in the treatment of AVMs, which often necessitates the use of general anesthesia. 1 It is reported that embolization using absolute alcohol rapidly obliterates and shrinks the arteriovenous malformation providing better long-term success than with other sclerosants. 2 The bispectral index (BIS) monitor may serve a special role for cerebral embolization performed under general anesthesia.…”