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.
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References
Duckwiler G (1992) Dural arteriovenous fistula. Neuroimaging Clin North Am 2:291–307
Guiglielmi G, Vinuela F, Duckwiler G, Dion J, Stocker A (1995) High-flow, small-hole arteriovenous fistulas: treatment with electrodetachable coils. Am J Neuroradiol 16:325–328
Nesbit GM, Barnwell SL (1998) The use of electrolytically detachable coils in treating high-flow arteriovenous fistulas. Am J Neuroradiol 19:1565–1569
Luo C-B, Teng MMH, Chang F-C, Chang C-Y (2006) Endovascular treatment of intracranial high-flow arteriovenous fistulas by Guglielmi detachable coils. J Chin Med Assoc 69:80–85
Hoh BL, Putman CM, Budzik RF, Ogilvy CS (2001) Surgical and endovascular disconnection of intracranial arteriovenous fistulae. Neurosurgery 49:1351–1364
Meyer FB, Grady RE, Abel MD, Nichols DA, Caminha SS, RobbB RA, Bates LM (1997) Resection of a large temporooccipital parenchymal arteriovenous fistula by using deep hypothermic circulatory bypass. J Neurosurg 87:934–939
Mounayer C, Hammami N, Piotin M, Spelle L, Benndorf G, Kessler I, Moret J (2007) Nidal embolization of brain arteriovenous malformations using Onyx in 94 patients. Am J Neuroradiol 28:518–523
Vinuela F, Drake CG, Fox AJ, Pelz DM (1987) Giant intracranial varices secondary to high-flow arteriovenous fistulae. J Neurosurg 66:198–203
Yoshimura S, Hashimoto N, Kazekawa K, Nichi S, Sampei K (1995) Embolization of dural arteriovenous fistulas with interlocking detachable coils. Am J Neuroradiol 16:322–324
Weil A, Roy D, Georganos SA, Guibert F, Raymond J (2002) Use of Trispan device to assist coil embolization of high-flow arteriovenous fistulas. Am J Neuroradiol 23:1149–1152
Hermier M, Turjman F, Bozio A, Duquesnel J, Lapras C (1995) Endovascular treatment of an infantile nongalenic cerebral arteriovenous fistula with cyanoacrylate. Child’s Nerv Syst 11:494–498
Kerber CW, Bank WO, Cromwell LD (1979) Calibrated leak balloon microcatheter: a device for arterial exploration and occlusive therapy. AJR Am J Roentgenol 132:207–212
Jayaraman MV, Do HM, Marks MP (2007) Treatment of Traumatic Cervical Arteriovenous Fistulas with N-Butyl-2-Cyanoacrylate. Am J Neuroradiol 28:352–354
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Andreou, A., Ioannidis, I. & Nasis, N. Transarterial balloon-assisted glue embolization of high-flow arteriovenous fistulas. Neuroradiology 50, 267–272 (2008). https://doi.org/10.1007/s00234-007-0322-1
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DOI: https://doi.org/10.1007/s00234-007-0322-1