PT  - JOURNAL ARTICLE
AU  - Clarençon, Frédéric
AU  - Shotar, Eimad
AU  - Lenck, Stéphanie
AU  - Aubertin, Mathilde
AU  - Premat, Kevin
AU  - Boch, Anne-Laure
AU  - Sourour, Nader-Antoine
TI  - Strategies for embolization of direct arteriovenous shunts in brain arteriovenous malformations
AID  - 10.1136/neurintsurg-2021-017317
DP  - 2021 Nov 01
TA  - Journal of NeuroInterventional Surgery
PG  - 1064--1064
VI  - 13
IP  - 11
4099  - http://jnis.bmj.com/content/13/11/1064.short
4100  - http://jnis.bmj.com/content/13/11/1064.full
SO  - J NeuroIntervent Surg2021 Nov 01; 13
AB  - Intranidal direct arteriovenous (AV) shunts are rarely observed in brain arteriovenous malformations (bAVMs).1 The endovascular treatment of such direct AV shunts may be challenging. Indeed, there is a significant risk of venous migration of the embolic agent used to occlude the AV shunt, leading to a subsequent risk of nidus bleeding due to impairment (slowdown or even occlusion) of the bAVM’s venous drainage.2 Various endovascular techniques have been developed to avoid the risk of such inopportune impairment of the venous drainage during attempts to occlude a direct intranidal AV shunt.3–5 We present in this Technical Video (video 1) different endovascular strategies to occlude such direct AV shunts using dual-lumen balloons with various liquid embolic agents, or using occlusion plugs. Video 1