Current status and prospect of absolute ethanol sclerotherapy for cerebral arteriovenous malformations
10.3969/j.issn.1008-794X.2025.03.001
- VernacularTitle:无水乙醇硬化治疗脑动静脉畸形现状与展望
- Author:
Weixing BAI
1
;
Yanyan HE
;
Tianxiao LI
Author Information
1. 450003 河南郑州 郑州大学人民医院(河南省人民医院)脑血管病介入科
- Keywords:
vascular malformation;
brain arteriovenous malformation;
vascular intervention;
embolization;
absolute ethanol
- From:
Journal of Interventional Radiology
2025;34(3):231-233
- CountryChina
- Language:Chinese
-
Abstract:
Although in the treatment of extracranial vascular malformations the absolute ethanol used as an embolization agent has several advantages(such as low cost,reliable efficacy,no impact on subsequent treatments,etc.)and has already achieved significant progress in clinical practice,it is still regarded as a highly-selective liquid embolization agent in the sclerotherapy or embolization treatment of brain arteriovenous malformation(bAVM).At present,the indications of sclerotherapy and embolization therapy by using absolute ethanol include small AVM(<3 cm)located at brain cortex or at non-eloguent area,and relatively low-flow AVM,in such case,the absolute ethanol acts as an effective supplement to other liquid embolization agents.Further studies are needed so as to improve the radiographic visualization and viscosity of absolute ethanol,to make the injection process more controlled,and to alleviate the edema caused by neurotoxicity and inflammation.