Document Detail

Transvenous embolization of a ruptured cerebral arteriovenous malformation with en-passage arterial supply: initial case report.
MedLine Citation:
PMID:  21990597     Owner:  NLM     Status:  In-Data-Review    
A patient with a ruptured left sylvian fissure arteriovenous malformation (AVM) treated with primary transvenous Onyx embolization, and angiographically cured, is reported. The patient presented with a large intraparenchymal subopercular hematoma and there was angiographic demonstration of a pseudoaneurysm and single draining vein. Trans-arterial approaches were unsuccessful because of the en-passage nature of feeding arteries and hence a transvenous approach was used to embolize the pseudoaneurysm with Onyx. Follow-up angiography at 1 month revealed durable angiographic cure of the AVM. Our case illustrates that in patients with ruptured AVM secondary to pseudoaneurysm and single draining vein, transvenous treatment can be utilized to achieve occlusion of the pseudoaneurysm resulting in AVM cure. To our knowledge, this is the first description of a transvenous approach for endovascular therapy of AVM.
Thanh N Nguyen; Lawrence S Chin; Rosemary Souza; Alexander M Norbash
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Publication Detail:
Type:  Journal Article     Date:  2010-03-05
Journal Detail:
Title:  Journal of neurointerventional surgery     Volume:  2     ISSN:  1759-8486     ISO Abbreviation:  J Neurointerv Surg     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2011-10-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101517079     Medline TA:  J Neurointerv Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  150-2     Citation Subset:  IM    
Department of Neurology, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA.
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