Transvenous Onyx embolization of a subependymal deep arteriovenous malformation with a single drainage vein: technical note

J Neurointerv Surg. 2014 Apr 1;6(3):e20. doi: 10.1136/neurintsurg-2012-010603.rep. Epub 2013 Apr 10.

Abstract

Cerebral arteriovenous malformations (AVMs) are uncommon. Treatment options include embolization, radiosurgery and surgery, separately or combined, the final goal being complete occlusion of the malformation. We describe the case of a symptomatic small subependymal AVM with a single deep drainage vein previously treated unsuccessfully by radiosurgery and transarterial embolization. The AVM was successfully embolized transvenously using Onyx, achieving complete occlusion in a single treatment session.

Keywords: Arteriovenous Malformation; Hemorrhage; Liquid Embolic Material; Magnetic Resonance Angiography.

Publication types

  • Case Reports
  • Technical Report

MeSH terms

  • Cerebral Veins / diagnostic imaging
  • Cerebral Veins / pathology*
  • Dimethyl Sulfoxide / therapeutic use
  • Embolization, Therapeutic / instrumentation
  • Embolization, Therapeutic / methods*
  • Ependyma / blood supply*
  • Female
  • Humans
  • Intracranial Arteriovenous Malformations / diagnostic imaging
  • Intracranial Arteriovenous Malformations / pathology
  • Intracranial Arteriovenous Malformations / therapy*
  • Lateral Ventricles / blood supply*
  • Lateral Ventricles / diagnostic imaging
  • Middle Aged
  • Polyvinyls / therapeutic use
  • Radiography
  • Treatment Outcome

Substances

  • Onyx copolymer
  • Polyvinyls
  • Dimethyl Sulfoxide