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Neuroradiology

, Volume 50, Issue 10, pp 903–904 | Cite as

Embolization of an AVM with acrylic glue through a new microcatheter with detachable tip: an amazing experience

  • M. Halil Öztürk
  • Hüseyin Ünal
  • Hasan Dinç
Letter to the Editor

Sir,

We recently treated a patient with a right temporal arteriovenous malformation (AVM) by injecting acrylic glue through a new microcatheter with a detachable tip (Sonic, Balt, France)—with unexpected results.

A 40-year-old male patient presented with epilepsy. Cranial computerized tomography (CT) and magnetic resonance examinations revealed a right temporal AVM that was 6 × 5 × 3 cm. Cerebral digital subtraction angiography (DSA) showed the presence of an AVM filling from the inferior truncus branches of the right middle cerebral artery and draining through multiple cortical veins. There were no arterial feeder aneurysms or venous drainage stenosis. Based on these DSA findings, we planned an embolotherapy.

We first catheterized the right internal carotid artery with a guiding catheter (Envoy Cordis, Miami, FL) and then navigated the new detachable flow-directed tip plus braided microcatheter (sonic) to the AVM nidus with its own microwire (model Steel007; Balt Extrusion,...

Keywords

Digital Subtraction Angiography Onyx Neurointensive Care Unit Ethylene Vinyl Alcohol Acrylic Glue 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest statement

We declare that we have no conflict of interest.

References

  1. 1.
    Debrun GM, Aletich V, Ausman JI, Charbel F, Dujovny M (1997) Embolization of the nidus of brain arteriovenous malformations with n-butyl cyanoacrylate. Neurosurgery 40:112–121PubMedCrossRefGoogle Scholar
  2. 2.
    Weber W, Kis B, Siekmann R, Kuehne D (2007) Endovascular treatment of intracranial arteriovenous malformations with onyx: technical aspects. AJNR Am J Neuroradiol 28:371–377PubMedGoogle Scholar
  3. 3.
    Bendok BR, Levy EI, Hanel RA, Qureshi AI, Guterman LR, Hopkins LN (2003) Brain AVM Embolization. Oper Tech Neurosurg 2:64–74CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • M. Halil Öztürk
    • 1
  • Hüseyin Ünal
    • 1
  • Hasan Dinç
    • 1
  1. 1.Department of Radiology, Farabi Hospital, Faculty of MedicineKaradeniz Technical UniversityTrabzonTurkey

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