Alexander Andreou1, Ioannis Ioannidis, Nickolaos Nasis. 1. Department of Neurosurgery and Interventional Neuroradiology, Diagnostic and Therapeutic Center of Athens HYGEIA, Erythrou Stavrou 4, 15123 Marousi, Athens, Greece.
Abstract
INTRODUCTION: We report here our experience in treating high-flow arteriovenous fistulas (AVFs) of the brain and spine using balloon-assisted glue injection. METHODS: During a 3-year period (2003-2005) five patients with high-flow AVFs were treated at our hospital using transarterial balloon-assisted glue injection. There were two pial AVFs, one dural AVF, one vein of Galen malformation and one perimedullary AVF of the cervical spine. All patients were clinically followed-up for 12-48 months. RESULTS: Immediate angiographic obliteration was achieved in all patients. The fistulas remained closed in all patients, as ascertained by follow up-angiograms. No new neurological deficits related to the procedure were detected. Clinically, one patient with severe pre-treatment neurological deficit experienced excellent recovery. CONCLUSION: Transarterial balloon-assisted glue embolization of high-flow AVFs is a feasible and efficient treatment. This technique affords more control in the glue injection and minimizes the risk of distal embolization.
INTRODUCTION: We report here our experience in treating high-flow arteriovenous fistulas (AVFs) of the brain and spine using balloon-assisted glue injection. METHODS: During a 3-year period (2003-2005) five patients with high-flow AVFs were treated at our hospital using transarterial balloon-assisted glue injection. There were two pial AVFs, one dural AVF, one vein of Galen malformation and one perimedullary AVF of the cervical spine. All patients were clinically followed-up for 12-48 months. RESULTS: Immediate angiographic obliteration was achieved in all patients. The fistulas remained closed in all patients, as ascertained by follow up-angiograms. No new neurological deficits related to the procedure were detected. Clinically, one patient with severe pre-treatment neurological deficit experienced excellent recovery. CONCLUSION: Transarterial balloon-assisted glue embolization of high-flow AVFs is a feasible and efficient treatment. This technique affords more control in the glue injection and minimizes the risk of distal embolization.
Authors: Alain Weill; Daniel Roy; Stavros A Georganos; François Guilbert; Jean Raymond Journal: AJNR Am J Neuroradiol Date: 2002-08 Impact factor: 3.825
Authors: S W Hetts; K Keenan; H J Fullerton; W L Young; J D English; N Gupta; C F Dowd; R T Higashida; M T Lawton; V V Halbach Journal: AJNR Am J Neuroradiol Date: 2012-07-05 Impact factor: 3.825