TRAITEMENT ENDOVASCULAIRE DES ANGIOMES INTRA-CRANIENS. EMBOLISATIONS ASSOCIEES UTILISANT UN SYSTEME DE MICRO-CATHETER POLYVALENT A AILETTES MOBILES

Translated title of the contribution: Endovascular treatment of intracranial AVMs. Combined embolization with a multi-purpose mobile-wing microcather system

A. Benati, A. Beltramello, A. Maschio, S. Perini, L. Rosta, E. Piovan

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Sixty-six patients with symptomatic intracranial AVMs, mostly large or giant, underwent a total of 194 embolizations over a period of 4 years. Different techniques of endovascular treatment were used: free-flow and driven-flow embolizations associated with superselective intracranial navigations and embolizations by means of microcatheter systems. Recently, an increasing number of procedures were performed with a new, modified type of silastic microcatheter, bearing at its tip no balloon but small latex mobile-wings. With this type of multi-purpose microcatheter both glue and particles (small pieces of surgical sutures) can be delivered without risk of arterial rupture. If surgical sutures are used as embolic agents, more pedicles can be treated in the same session without need for a complete withdrawal of the catheter; the embolization can be graded, checked by frequent angiiographic controls and suspended, if necessary, at any moment. In our experience, the association of this technique with free-flow embolization is efficient and reliable. Two patients sustained major complications with permanent neurologic deficits. Two AVMs were totally obliterated: 3 other angiomas sustained a 90% occlusion. In 15 AVMs the significant decrease in size due to embolization made surgery or radiosurgey possible. Significant improvement of subjective symptoms was obtained in 15 other patients.

Original languageFrench
Pages (from-to)99-113
Number of pages15
JournalJournal of Neuroradiology
Volume14
Issue number2
Publication statusPublished - 1987

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Sutures
Endovascular Procedures
Latex
Hemangioma
Neurologic Manifestations
Adhesives
Rupture
Therapeutics
Catheters
baysilon

ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

TRAITEMENT ENDOVASCULAIRE DES ANGIOMES INTRA-CRANIENS. EMBOLISATIONS ASSOCIEES UTILISANT UN SYSTEME DE MICRO-CATHETER POLYVALENT A AILETTES MOBILES. / Benati, A.; Beltramello, A.; Maschio, A.; Perini, S.; Rosta, L.; Piovan, E.

In: Journal of Neuroradiology, Vol. 14, No. 2, 1987, p. 99-113.

Research output: Contribution to journalArticle

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