Feasible study of endovascular embolization for treating cerebral arteriovenous malformations via internal jugular vein approach
10.3760/cma.j.issn.1005-1201.2018.02.010
- VernacularTitle:颈内静脉入路血管内根治性栓塞治疗脑动静脉畸形的可行性研究
- Author:
Weixing BAI
1
;
Yingkun HE
;
Tianxiao LI
;
Bin XU
;
Jiangyu XUE
;
Guang FENG
;
Zhaoshuo LI
;
Tongyuan ZHAO
;
Dongyang CAI
;
Kaitao CHANG
;
Yanyan HE
Author Information
1. 450003,郑州大学人民医院介入科脑血管病区 河南省人民医院国家高级卒中中心 河南省介入治疗中心
- Keywords:
Intracranial arteriovenous malformations;
Internal jugular vein approach;
Embolization
- From:
Chinese Journal of Radiology
2018;52(2):131-134
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility of transvenous embolization treatment for cerebral arteriovenous malformations(bAVM). Methods From November 2016 to April 2017, the information of 6 patients with brain arteriovenous malformation in our center accepting the intravenous radical embolization were collected, who were ruptured bAVM, bAVM with a single drainage vein, not suitable for surgery confirmed by neurosurgeon consultation or explicitly refused craniotomy. The modified Rankin Scale score of five patients were smaller than three before treatment.The location of draining vein flowing venous sinus was shown by rotational DSA and 3D reconstructed images.A liquid embolic agent was injected via Sonic catheter to completely embolism the brain arteriovenous malformation under controlling blood pressure and blocking the blood provisionally.The perioperative complications and modified Rankin Scale score were observed and recorded 30 days after treatment. Results The transvenous embolization treatment was successfully performed in six patients with 7 embolization procedures.There were no definite operation-related complications. the mRS of all cases were ≤1 within 30 days after operation. Conclusion The embolization technique via the internal jugular vein is feasible for bAVM patients with a single drainage vein,while the long-term outcome need more evaluations.
