Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique

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Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique. / Stracke, Christian Paul; Schwindt, Wolfram; Meyer, Lukas; Fiehler, Jens; Chapot, René.

In: NEURORADIOLOGY, Vol. 65, No. 5, 05.2023, p. 961-968.

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@article{a72c5eecd19642db8eb5490e1cb588ca,
title = "Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique",
abstract = "PURPOSE: Endovascular treatment of spinal AVMs is limited by low complete cure rates. Transarterial extensive treatment with liquid embolics carries the risk of clinically relevant ischemic complications. We report two cases of symptomatic spinal AVMs treated by a transvenous approach with retrograde pressure cooker technique.METHODS: In two selected cases, transvenous navigation aimed at retrograde pressure cooker embolization.RESULTS: Retrograde venous navigation was possible with two parallel microcatheters, and the pressure cooker technique with ethylenvinylalcohol-polymer was applicable in both cases. One AVM was occluded completely, and one subtotally due to a second draining vein. No clinical complications occurred.CONCLUSION: A transvenous approach for embolization with liquid embolics may offer advantages in treating certain spinal AVMs.",
keywords = "Humans, Veins, Embolization, Therapeutic/methods, Intracranial Arteriovenous Malformations/therapy, Treatment Outcome",
author = "Stracke, {Christian Paul} and Wolfram Schwindt and Lukas Meyer and Jens Fiehler and Ren{\'e} Chapot",
note = "{\textcopyright} 2023. The Author(s).",
year = "2023",
month = may,
doi = "10.1007/s00234-023-03132-x",
language = "English",
volume = "65",
pages = "961--968",
journal = "NEURORADIOLOGY",
issn = "0028-3940",
publisher = "Springer",
number = "5",

}

RIS

TY - JOUR

T1 - Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique

AU - Stracke, Christian Paul

AU - Schwindt, Wolfram

AU - Meyer, Lukas

AU - Fiehler, Jens

AU - Chapot, René

N1 - © 2023. The Author(s).

PY - 2023/5

Y1 - 2023/5

N2 - PURPOSE: Endovascular treatment of spinal AVMs is limited by low complete cure rates. Transarterial extensive treatment with liquid embolics carries the risk of clinically relevant ischemic complications. We report two cases of symptomatic spinal AVMs treated by a transvenous approach with retrograde pressure cooker technique.METHODS: In two selected cases, transvenous navigation aimed at retrograde pressure cooker embolization.RESULTS: Retrograde venous navigation was possible with two parallel microcatheters, and the pressure cooker technique with ethylenvinylalcohol-polymer was applicable in both cases. One AVM was occluded completely, and one subtotally due to a second draining vein. No clinical complications occurred.CONCLUSION: A transvenous approach for embolization with liquid embolics may offer advantages in treating certain spinal AVMs.

AB - PURPOSE: Endovascular treatment of spinal AVMs is limited by low complete cure rates. Transarterial extensive treatment with liquid embolics carries the risk of clinically relevant ischemic complications. We report two cases of symptomatic spinal AVMs treated by a transvenous approach with retrograde pressure cooker technique.METHODS: In two selected cases, transvenous navigation aimed at retrograde pressure cooker embolization.RESULTS: Retrograde venous navigation was possible with two parallel microcatheters, and the pressure cooker technique with ethylenvinylalcohol-polymer was applicable in both cases. One AVM was occluded completely, and one subtotally due to a second draining vein. No clinical complications occurred.CONCLUSION: A transvenous approach for embolization with liquid embolics may offer advantages in treating certain spinal AVMs.

KW - Humans

KW - Veins

KW - Embolization, Therapeutic/methods

KW - Intracranial Arteriovenous Malformations/therapy

KW - Treatment Outcome

U2 - 10.1007/s00234-023-03132-x

DO - 10.1007/s00234-023-03132-x

M3 - SCORING: Journal article

C2 - 36862187

VL - 65

SP - 961

EP - 968

JO - NEURORADIOLOGY

JF - NEURORADIOLOGY

SN - 0028-3940

IS - 5

ER -