The Pressure Cooker Technique for the treatment of brain AVMs

被引:137
作者
Chapot, Rene [1 ]
Stracke, Paul [1 ]
Velasco, Aglae [1 ]
Nordnieyer, Hannes [1 ]
Heddier, Markus [1 ]
Stauder, Michael [1 ]
Schooss, Petra [1 ]
Mosimann, Pascal J. [1 ,2 ]
机构
[1] Alfried Krupp Krankenhaus Hosp, Dept Intracranial Endovasc Therapy, D-45131 Essen, Germany
[2] Univ Lausanne, Dept Radiol & Neuroradiol, Ctr Hosp Univ Vaudois, Lausanne, Switzerland
关键词
Brain AVM; Embolization; Onyx; Coils; Glue; Pressure cooker; ARTERIOVENOUS-MALFORMATIONS; NIDAL EMBOLIZATION; ONYX;
D O I
10.1016/j.neurad.2013.10.001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Arteriovenous malformations (AVMs) may be cured by injecting liquid embolic agents such as Onyx. Reflux, however, can sometimes be difficult to control and may jeopardize a complete embolization. The pressure cooker technique (PCT) was designed to create an anti-reflux plug by trapping the detachable part of an Onyx-compatible microcatheter with coils and glue in order to obtain wedge-flow conditions, thereby enabling a better understanding of macrofistulous AVMs and a more comprehensive, forceful and controlled Onyx embolization. The PCT might enlarge the range of AVMs amenable to endovascular cure. Three illustrative cases are presented. (C) 2013 Published by Elsevier Masson SAS.
引用
收藏
页码:87 / 91
页数:5
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