Multimodality treatment of brain arteriovenous malformations with microsurgery after embolization with Onyx: Single-center experience and technical nuances Academic Article uri icon

Overview

MeSH Major

  • Dimethyl Sulfoxide
  • Embolization, Therapeutic
  • Intracranial Arteriovenous Malformations
  • Microsurgery
  • Polyvinyls

abstract

  • Multimodality treatment with microsurgery is safe and effective after embolization with Onyx. High occlusion rates and low complication rates were observed after Onyx embolization and were comparable to those in previous reports. Superselective intranidal or perinidal catheter positions and slow, controlled injections that protect the draining veins make the therapy safe even in complex AVMs and critical locations. We recommend resection of the AVM despite apparently complete embolization with Onyx. Team work and coordination between the surgeon and the interventional neuroradiologist are important to achieve a good outcome.

publication date

  • June 2008

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1227/01.neu.0000333293.74986.e5

PubMed ID

  • 18824988

Additional Document Info

start page

  • 1213

end page

  • 25; discussion 1225-6

volume

  • 62

number

  • 6