Embolization of an AVM with acrylic glue through a new microcatheter with detachable tip: an amazing experience
- 149 Downloads
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,...
KeywordsDigital Subtraction Angiography Onyx Neurointensive Care Unit Ethylene Vinyl Alcohol Acrylic Glue
Conflict of interest statement
We declare that we have no conflict of interest.