Superselective arteriographic embolization by the femoral route in neuroradiology

Djindjian, R; Cophignon, J; A, Rey; Thron, J.; Merland, J. J.; Houdart, R

doi:10.1007/bf00340442

Cited by 56 publications

(17 citation statements)

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“…Even a partial embolization can improve the patient's prognosis. 38,39 Modern microcatheters permit selective catheterization of the anterior or posterior arteries feeding the AVM, and the embolization can be performed with particles or liquid embolic material, each with its own advantages and disadvantages. Coils are not used in these lesions because they require relatively rigid microcatheters that cannot be safely navigated through the spinal arteries.…”

Section: Lesion-specific Techniquementioning

confidence: 99%

Endovascular Treatment of Spinal Arteriovenous Lesions: Beyond the Dural Fistula

Patsalides¹,

Knopman²,

Santillán³

et al. 2010

AJNR Am J Neuroradiol

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SUMMARY:During the past few decades, there have been significant advances in the understanding of spinal vascular lesions, mainly because of the evolution of imaging technology and selective spinal angiography techniques. In this article, we discuss the classification, pathophysiology, and clinical manifestations of spinal vascular lesions other than DAVFs and provide a review of the endovascular approach to treat these lesions. ABBREVIATIONS:ASA ϭ anterior spinal artery; AVF ϭ arteriovenous fistula; AVM ϭ arteriovenous malformation; DAVF ϭ dural arteriovenous fistula; MMA ϭ middle meningeal artery; n-BCA ϭ n-butyl 2-cyanoacrylate; PSA ϭ posterior spinal artery; PVA ϭ polyvinyl alcohol; SAH ϭ subarachnoid hemorrhage; SVM ϭ spinal vascular malformation S pinal arteriovenous lesions are rare entities, with severe consequences if untreated. During the past few decades, there have been significant advances in the understanding of these lesions, mainly because of selective spinal angiography. Increased knowledge of the angioarchitecture and pathophysiology of SVMs has lead to the development of endovascular embolization for these lesions, first described by Dr Djindjian in France and Drs DiChiro and Doppman in the United States. Further evolution in imaging technology and interventional and surgical techniques allows us to manage these lesions more efficiently, in the context of a multidisciplinary approach. In this article, we present the classification and pathophysiology of spinal arteriovenous lesions and the approach to endovascular treatment. This article does not discuss the pathophysiology and management of spinal DAVFs, which was discussed in a prior review article in this journal.

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Section: Lesion-specific Techniquementioning

confidence: 99%

Endovascular Treatment of Spinal Arteriovenous Lesions: Beyond the Dural Fistula

Patsalides¹,

Knopman²,

Santillán³

et al. 2010

AJNR Am J Neuroradiol

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“…18 2. Development of abnormal communications between dural arteries and veins appears to be an essential factor in the development of dAVFs.…”

Section: Evidence In Favor Of the Three Stage Hypothesismentioning

confidence: 99%

Dural Arteriovenous Fistulas

Harrigan¹,

Deveikis²

2012

Handbook of Cerebrovascular Disease and Neurointerventional Technique

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“…In another case, however, preoperative partial embolisation of an enormous facial and pharyngeal angioma was followed 12 hours later by haemorrhage from the larynx; this was thought to be a result of traumatic intubation, but must be regarded as a complication of the procedure. Djindjian et al (1973b) have also described facial atrophy as a laze result of embolisation of facial angiomas or lymphangiomas.…”

Section: Complicationsmentioning

confidence: 99%