Use of Onyx in the Management of Tentorial Dural Arteriovenous Fistulae

Huang, Qinghai; Xu, Yi; Hong, Bo; Li, Qiang; Zhao, Wenyuan; Liu, Jianmin

doi:10.1227/01.neu.0000348298.75128.d0

Cited by 47 publications

(58 citation statements)

References 18 publications

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“…There were several distended tortuous veins depicting venous outflow hypertension. We proceeded with transarterial embolization of the feeding arteries using ONYX [5][6][7][8]. Patient remained stable throughout the procedure (Figure 2b&3).…”

Section: Methodsmentioning

confidence: 99%

Hydrocephalus Treated with Embolization of a Tentorial Dural Fistula

Sotiris¹

2017

JNSK

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We present a case of a 73 years old, caucasian male patient who presented two years ago with progressive dementia, frequent falls, unsteady gait and somnolence. He suffered from diabetes type 2 and mild chronic renal insufficiency. He was diagnosed with obstructive hydrocephalus and tentorial dural fistula (Cognard type IV). He underwent brain angiography and embolization of the fistula. His symptoms improved remarkably postembolisation and he remains stable after two years of follow up. Keywords: Hydrocephalus Treated with Embolization of a Tentorial Dural Fistula 4/4

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Section: Methodsmentioning

confidence: 99%

Hydrocephalus Treated with Embolization of a Tentorial Dural Fistula

Sotiris¹

2017

JNSK

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“…The angiographic cure rate by TAE with Onyx is better than that for treatments with NBCA. Huang et al 49 reported 12 patients presenting with intracranial hemorrhage who were treated by Onyx embolization. Complete cure was achieved in 11 patients.…”

Section: Tentorial Davfsmentioning

confidence: 99%

Update of embolization of intracranial dural arteriovenous fistula

Luo¹,

Chang²,

Teng³

2014

Journal of the Chinese Medical Association

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Intracranial dural arteriovenous fistulas (DAVFs) are abnormal arteriovenous communications within the dura locating near a major venous sinus and are supplied by pachymeningeal arteries. DAVFs represent 10e15% of all intracranial arteriovenous malformations. The natural history and clinical manifestations are determined by location of the DAVFs and their angioarchitecture. Aggressive DAVF is usually associated with leptomeningeal venous drains or reflux. It may present with hemorrhagic or nonhemorrhagic stroke. The goal of embolization of DAVFs is total fistula occlusion without interfering with the normal duraevenous drains. Embolization can be performed by transarterial and/or transvenous routes or direct puncture of affected dural sinus. Selection of embolic materials depends on access route and angioarchitecture of the fistula. With the involution of endovascular devices, embolic materials, and high-quality angiography, endovascular embolization of DAVFs has been proved a safe and effective method of treating these complex cerebrovascular lesions.

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“…Basically our procedure follows this theory. Furthermore, several reports on TAE with Onyx have recently been published [6][7][8][9][10][11][12][13][14][15] . According to these reports, Onyx has the potential to backfill multiple feeding arteries from a single arterial injection, and always behaves like a column, and fragmentation rarely occurs 6,[8][9][10]15 .…”

Section: Case Presentationmentioning

confidence: 99%

“…Generally, high-grade (Cognard types 3, 4 or 5) intracranial d-AVF show aggressive manifestations and sometimes are not amenable to treatment by transvenous embolization (TVE). Recent reports have demonstrated the efficacy of transarterial embolization (TAE) with liquid embolic materials as curative therapeutic options [2][3][4][5][6][7][8][9][10][11][12][13][14][15] , with some authors describing the importance of flow reduction of other competing high-flow feeders prior to injection of the liquid embolic material [2][3][4][5]12,14 . However, previously reported flow-control techniques have some limitations and are sometimes unsuccessful, leading to incomplete flow reduction.…”

Section: Introductionmentioning

confidence: 99%

The Usefulness of Subcutaneous Infiltration of Epinephrine-Containing Lidocaine for Curative Transarterial Embolization of Dural Arteriovenous Fistula

et al. 2014

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Recently, transarterial embolization (TAE) with liquid embolic materials has been recognized as one of the curative therapeutic options for non-sinus type dural arteriovenous fistula (d-AVF). To prevent glue fragmentation and incomplete obliteration, flow reduction of transosseous high-flow feeders is one of the key points of this therapy. However, flow reduction of transosseous feeders is sometimes difficult with previously reported techniques such as particle embolization, manual compression, or proximal balloon occlusion. This report introduces a new technique to reduce the flow of transosseous feeders using epinephrine-containing lidocaine, and describes a case of intracranial d-AVF successfully treated with this technique. The usefulness and efficacy of the technique are discussed.

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Use of Onyx in the Management of Tentorial Dural Arteriovenous Fistulae

Abstract: These results suggest that transarterial embolization using Onyx is feasible and effective for the management of tentorial DAVFs.

Cited by 47 publications

References 18 publications

Hydrocephalus Treated with Embolization of a Tentorial Dural Fistula

Hydrocephalus Treated with Embolization of a Tentorial Dural Fistula

Update of embolization of intracranial dural arteriovenous fistula

The Usefulness of Subcutaneous Infiltration of Epinephrine-Containing Lidocaine for Curative Transarterial Embolization of Dural Arteriovenous Fistula

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