Abstract
For safe, more definitive embolisation of arteriovenous malformations, improved selectivity of the catheter is desirable. This report describes the advantage of the combined use of a progressive suppleness pursil catheter and a hydrophilic polymer-coated guide wire, together with precaution against complications. In 14 patients, 27 vessels were catheterised with this. Chemical embolisation using oestrogen alcohol and polyvinyl acetate was carried out only if sufficiencytly superselective catheterization was achieved with negative results on a provocation test. Chemical embolisation was successful in 25 vessels, but in three vessels catheterised very distally, it required much more time to withdraw the catheter because of the friction between it and the wall of the vessel.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Dion JE, Duckwiler GR, Lylyk P, Viñuela F, Bentson J (1989) Progressive suppleness pursil catheter: a new tool for superselective angiography and embolization. AJNR 10:1068–1070
Takayasu K, Muramatsu Y, Moriyama N, Ohtsu T, Catapia FC (1988) Plastic-coated guide wire for hepatic arteriography. Radiology 166:545–546
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: results after 1 and 2 years. AJNR 11:857–864
Rodesch G, Lasjaunias P (1991) Treatment of arteriovenous malformations (letter). AJNR 12:1023–1024
Su C-C, Takahashi A, Yoshimoto T, Sugawara T (1991) Histopathological studies of a new liquid embolization method using estrogen-alcohol and polyvinyl acetate. Surg Neurol 36:4–11
Takahashi A, Yoshimoto T, Sugawara T (1991) New liquid embolization method for brain arteriovenous malformations: Combined infusion of oestrogen-alcohol and polyvinyl acetate. Neuroradio 33 (Suppl):190–192
Sugawara T, Takahashi A, Su CC, Suga T, Yoshimoto T, Suzuki J (1992) Expermintal investigation of a new liquid embolization method Enhancing effect of 25% ethanol on conjugated estrogen. Neurol Med Chir 32:59–64
Mizoi K, Takahashi A, Yoshimoto T, Sugawara T, Saito K (1992) Surgical excision of giant cerebellar hemispheric arteriovenous malformations following preoperative embolization. J Neurosurg 76:1008–1011
Kikuchi Y, Strother CM, Boyer M (1987) New catheter for endovascular interventional procedures. Radiology 165:870–871
Pinto RS, Robbins E, Seidenwurm D (1989) Thrombogenicity of teflon versus copolymer-coated guidewires: evaluation with scanning electron microscopy. AJNR 10:407–410
Goto K, Taki W, Iwata H (1991) A new technique for embolization of cerebral arteriovenous malformations and dural arteriovenous fistulae. Neuroradiology 33 (Suppl):193–194
Goto K (1991) Low-friction high-torque guide wire: A new way for superselective catheterization. Neuroradiology 33 (Suppl): 636–637
Goto K (1988) Cerebral and cranial artery navigation without using a leak balloon: a new combination of a low-friction high torque guide wire and a thin supple catheter. AJNR 9:1040
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ezura, M., Takahashi, A., Yoshimoto, T. et al. Hydrophilic polymer-coated guide wire combined with progressive suppleness pursil catheter for safer, more definitive embolisation of arteriovenous malformations. Neuroradiology 36, 326–329 (1994). https://doi.org/10.1007/BF00593273
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00593273