Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique

PURPOSE: Endovascular treatment of spinal AVMs is limited by low complete cure rates. Transarterial extensive treatment with liquid embolics carries the risk of clinically relevant ischemic complications. We report two cases of symptomatic spinal AVMs treated by a transvenous approach with retrograd...

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Autores principales: Stracke, Christian Paul, Schwindt, Wolfram, Meyer, Lukas, Fiehler, Jens, Chapot, René
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Spinal Neuroradiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10105665/
https://www.ncbi.nlm.nih.gov/pubmed/36862187
http://dx.doi.org/10.1007/s00234-023-03132-x
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author Stracke, Christian Paul
Schwindt, Wolfram
Meyer, Lukas
Fiehler, Jens
Chapot, René
author_facet Stracke, Christian Paul
Schwindt, Wolfram
Meyer, Lukas
Fiehler, Jens
Chapot, René
author_sort Stracke, Christian Paul
collection PubMed
description PURPOSE: Endovascular treatment of spinal AVMs is limited by low complete cure rates. Transarterial extensive treatment with liquid embolics carries the risk of clinically relevant ischemic complications. We report two cases of symptomatic spinal AVMs treated by a transvenous approach with retrograde pressure cooker technique. METHODS: In two selected cases, transvenous navigation aimed at retrograde pressure cooker embolization. RESULTS: Retrograde venous navigation was possible with two parallel microcatheters, and the pressure cooker technique with ethylenvinylalcohol-polymer was applicable in both cases. One AVM was occluded completely, and one subtotally due to a second draining vein. No clinical complications occurred. CONCLUSION: A transvenous approach for embolization with liquid embolics may offer advantages in treating certain spinal AVMs.
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spelling pubmed-101056652023-04-17 Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique Stracke, Christian Paul Schwindt, Wolfram Meyer, Lukas Fiehler, Jens Chapot, René Neuroradiology Spinal Neuroradiology PURPOSE: Endovascular treatment of spinal AVMs is limited by low complete cure rates. Transarterial extensive treatment with liquid embolics carries the risk of clinically relevant ischemic complications. We report two cases of symptomatic spinal AVMs treated by a transvenous approach with retrograde pressure cooker technique. METHODS: In two selected cases, transvenous navigation aimed at retrograde pressure cooker embolization. RESULTS: Retrograde venous navigation was possible with two parallel microcatheters, and the pressure cooker technique with ethylenvinylalcohol-polymer was applicable in both cases. One AVM was occluded completely, and one subtotally due to a second draining vein. No clinical complications occurred. CONCLUSION: A transvenous approach for embolization with liquid embolics may offer advantages in treating certain spinal AVMs. Springer Berlin Heidelberg 2023-03-02 2023 /pmc/articles/PMC10105665/ /pubmed/36862187 http://dx.doi.org/10.1007/s00234-023-03132-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Spinal Neuroradiology
Stracke, Christian Paul
Schwindt, Wolfram
Meyer, Lukas
Fiehler, Jens
Chapot, René
Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique
title Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique
title_full Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique
title_fullStr Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique
title_full_unstemmed Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique
title_short Endovascular treatment of spinal AVM: report of two cases with transvenous approach in combination with retrograde pressure cooker technique
title_sort endovascular treatment of spinal avm: report of two cases with transvenous approach in combination with retrograde pressure cooker technique
topic Spinal Neuroradiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10105665/
https://www.ncbi.nlm.nih.gov/pubmed/36862187
http://dx.doi.org/10.1007/s00234-023-03132-x
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