Onyx embolization for treatment of dural arteriovenous fistula: comparison of long- distance versus routine injection method.
- Author:
Xiao-Yan HE
1
;
Guo-Zhong ZHANG
;
Ming-Zhou LI
;
Gang WANG
;
Dan LIU
;
Song-Tao QI
;
Wei-Guang LI
;
Wen-Feng FENG
Author Information
- Publication Type:Journal Article
- MeSH: Arteries; Central Nervous System Vascular Malformations; therapy; Dimethyl Sulfoxide; therapeutic use; Embolization, Therapeutic; Humans; Polyvinyls; therapeutic use; Retrospective Studies; Treatment Outcome
- From: Journal of Southern Medical University 2016;36(3):429-432
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare the efficacy, clinical characteristics, safety, injection time and radiation exposure of Onyx embolization using a long-distance injection method and routine injection method for management of dural arteriovenous fistula (DAVF).
METHODSThe clinical data were retrospectively analyzed in 59 patients with DAVF treated with Onyx embolization using long-distance injection method (28 patients) and routine injection method (31 patients). The efficacy, safety, injection time and radiation exposure during Onyx embolization were compared between the two injections methods.
RESULTSThe average radiation dose exposure to the surgeon per procedure was significantly lower in the long-distance injection group than in the routine group. The injection time (P=0.53), injection volume (P=0.78), number of supply arteries (P=0.80), Cognard types (P=0.67), and effect of embolization (P=0.88) were all similar between the two groups.
CONCLUSIONEndovaseular treatment of intracranial DAVF with Onyx embolization using the long-distance injection method is feasible, safe and effective and can reduce the radiation exposure to the surgeon.