Summary
In order to reduce the recanalization rate of arteriovenous malformations and multiple dural arteriovenous fistulas, embolization was carried out with polyvinyl alcohol (PVA) particles combined with platinum fibre coils in 20 patients. The malformation was occluded more effectively than by PVA alone. Distal deposition of the emboli was obtained by improved steerable catheters (Tracker-18-unibody) and guidewires. The complication rate was lower than usually reported from studies using glue as embolic agent. It was concluded that the combination of PVA and fibre coils enhances the safety and effectiveness of embolization therapy and reduces the frequency of recanalization of intracranial AVMs.
Similar content being viewed by others
References
Purdy PD, Samson D, Batjer HH, Risser RC (1990) Preoperative embolization of cerebral arteriovenous malformation with polyvinyl alcohol particles. AJNR 11: 501–510
Fournier D, Terbrugge K, Rodesch G, Lasjaunias P (1990) Revascularization of brain arteriovenous malformations after embolization with bucrylate. Neuroradiology 32: 497–501
Picard L, Moret J, Lepoire J (1984) Traitement endovasculaire des angiomes artério-veneux intracérébraux. J Neuroradiol 11: 9–28
Pelz DM, Fox AJ, Viñuela F, Drake CC, Ferguson GG (1988) Preoperative embolization of brain AVMs with Isobutyl-2-cyanoacrylate. AJNR 9: 757–764
Berthelsen B, Löfgren J, Svendsen P (1990) Embolization of cerebral arteriovenous malformation with bucrylate. Acta Radiol 31: 13–21
Debrun G, Viñuela F, Fox A, Drake CG (1982) Embolization of cerebral arteriovenous malformation with bucrylate. J Neurosurg 56: 615–627
Berenstein A, Hieshima G (1987) Clinical versus experimental use of isobutyl-2-cyanoacrylate. J Neurosurg 67: 318–319
Fox AJ, Pelz DM, Lee DH (1990) Arteriovenous malformations of the brain: recent results of endovascular therapy. Radiology 177: 51–57
Samson D (1986) Carcinogenic potential of isobutyl-2-cyanoacrylate. J Neurosurg 65: 571–572
Brothers MF, Kaufmann JCE, Fox AJ, Deveikis JP (1989) n-butyl 2-cyanoacrylate — substitute for IBCA in interventional neuroradiology: histopathologic and polymerization time studies. AJNR 10: 777–786
Benati A, Beltramello A, Colombari R, Maschio A, Perini S, Pian Da R, Pasqualin A, Scienza Rosta L, Piovan E, Scarpa A, Zamboni G (1989) Preoperative embolization of arteriovenous malformations with polylene threads: techniques with Wing microcatheter and pathologic results. AJNR 10: 579–586
Taki W, Yonekawa Y, Iwata H, Uno A, Yamashita K, Amemiya H (1990) A new liquid material for embolization of arteriovenous malformations. AJNR 11: 163–168
Morse SS, Clark RA, Puffenbarger A (1990) Platinum microcoils for therapeutic embolization: nonneuroradiologic applications. AJR 155: 401–403
Schumacher M, Horton JA (1991) Treatment of cerebral arteriovenous malformations with PVA. Results and analysis of complications. Neuroradiology 33: 101–105
Viñuela F, Fox AJ, Pelz D, Debrun G (1986) Angiographic follow-up of large cerebral AVMs incompletely embolized with isobutyl-2-cyanoacrylate. AJNR 7: 919–925
Rao VR, Mandalam KR, Gupta AK, Kumpar S, Joseph S (1989) Dissolution of isobutyl 2-cyanoacrylate on long-term follow-up. AJNR 10: 135–141
Adelt D, Brückmann H, Krenkel W, Zeurner H (1988) Combined neuroradiological and neurosurgical treatment of intracerebral arteriovenous malformations. J Neurol 235: 355–358
Dawson RC, Tarr RW, Hecht ST, Jungreis CA, Lunsford LD, Coffey R, Horton JA (1990) Treatment of arteriovenous malformations of the brain with combined embolization and stereotactic radiosurgery. AJNR 11: 857–864
Spetzler RF, Martin NA, Carter LP, Flom RA, Raudzens PA, Wilkinson E (1987) Surgical management of large AVM's by staged embolization and operative excision. J Neurosurg 67: 17–28
Andrews BT, Wilson CB (1987) Staged treatment of arteriovenous malformations of the brain. Neurosurgery 21: 314–322
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nakstad, P.H., Bakke, S.J. & Hald, J.K. Embolization of intracranial arteriovenous malformations and fistulas with polyvinyl alcohol particles and platinum fibre coils. Neuroradiology 34, 348–351 (1992). https://doi.org/10.1007/BF00588202
Issue Date:
DOI: https://doi.org/10.1007/BF00588202