RT Journal Article
SR Electronic
T1 P070 Navigating the venous route: transvenous embolization for complex arteriovenous malformations
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP A71
OP A72
DO 10.1136/jnis-2024-ESMINT.107
VO 16
IS Suppl 2
A1 Kalappuraikkal, Arunnath
A1 Thomas, Justin
YR 2024
UL http://jnis.bmj.com/content/16/Suppl_2/A71.2.abstract
AB Introduction Treating arteriovenous malformations (AVMs) poses challenges when arterial access is difficult. Transvenous embolization offers an alternative, particularly in cases with venous drainage and inaccessible arterial feeders. This case study explores transvenous embolization via the Labbe vein in a patient with a Grade 2 AVM, emphasizing feasibility, safety, and efficacy.Case Description A 65-year-old male presented with a left frontoparietal bleed revealing a Grade 2 AVM with Labbe vein drainage and high-flow AVF. Transvenous embolization using Onyx was planned, with induced hypotension. Stereotactic Radiosurgery was ruled out due to hemorrhage risk. Venous pressure cooker usage was not feasible due to Labbe vein stenosis. One Apollo microcatheter was damaged, limiting simultaneous catheter placement. A Marathon microcatheter was utilized, and 1ml Onyx 18 was injected, achieving robust embolic cast formation.Results Transvenous embolization via the Labbe vein is a feasible and effective approach for treating AVMs, especially with difficult arterial access. Despite technical limitations, careful catheter manipulation and Onyx injection facilitated successful embolization, emphasizing innovative techniques in overcoming procedural hurdles. Further studies are needed to refine the approach for optimal patient care.Abstract P070 Figure 1 Disclosure of Interest no.