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Endovascular treatment of cerebral arteriovenous malformations with Onyx embolization

HE Hong-wei JIANG Chu-han LIU Hong-bing LI You-xiang ZHANG Jing-bo WU Zhong-xue

中华医学杂志(英文版)2005,Vol.118Issue(24):2041-2045,5.
中华医学杂志(英文版)2005,Vol.118Issue(24):2041-2045,5.

Endovascular treatment of cerebral arteriovenous malformations with Onyx embolization

Endovascular treatment of cerebral arteriovenous malformations with Onyx embolization

HE Hong-wei 1JIANG Chu-han 2LIU Hong-bing 2LI You-xiang 1ZHANG Jing-bo 2WU Zhong-xue2

作者信息

  • 1. Department of Neurosurgery, Qilu Hospital, Shandong University, Jinan 250012, China
  • 2. Department of Neuroradiosugery, Beijing Neurosurgery Institute, Beijing 100050, China
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摘要

Abstract

Background In the past 5 years, new treatment materials and techniques offering a different concept in endovascular treatment have been described for cerebral arteriovenous malformations (CAVMs). The aim of this study was to assess the endovascular treatment of CAVMs by using a liquid embolic material, Onyx (Micro Therapeutics. Inc., Irvine, CA, USA).Methods From September 2003 to September 2004, Onyx was used to treat 22 patients with CAVMs. Ten AVMS were located in functional areas, 8 in deep cerebral areas, and 4 in the cerebellar hemisphere. The size of CAVMs was about 3 cm in diameter in 5 patients, 3-6 cm in 11, and more than 6 cm in 6.Results In the 22 patients, Onyx embolization was successful. Nidus occlusion was complete in 3 patients, > 90% in 8, >80% and <90% in 6, and >50% and <80% in 5. Complications included transient neurological deficits in 2 patients, and adherence of microcatheter to the site of injection in 2.Conclusions Being non-adhesiveness, Onyx is a safe and satisfactory embolic material in the treatment of CAVMs. But its long-term efficacy awaits further follow-up.

关键词

cerebral arteriovenous malformations/embolization, therapeutic/Onyx copolymer

Key words

cerebral arteriovenous malformations/embolization, therapeutic/Onyx copolymer

分类

医药卫生

引用本文复制引用

HE Hong-wei,JIANG Chu-han,LIU Hong-bing,LI You-xiang,ZHANG Jing-bo,WU Zhong-xue..Endovascular treatment of cerebral arteriovenous malformations with Onyx embolization[J].中华医学杂志(英文版),2005,118(24):2041-2045,5.

中华医学杂志(英文版)

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