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13195

Outcome of Endovascular Treatment of Cerebral Arteriovenous Malformations with Ethylene Vinyl Alcohol Coploymer

Article

Last updated: 03 Jan 2025

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Abstract

Background: Cerebral AVMs are very rare lesions, and this rarity contributes to the difficulty of treating them. There is no consensus concerning the method of treatment to be chosen among neurosurgery, radiosurgery or embolization. Onyx embolization could serve as a curative option with accepted morbidity and mortality. The introduction of Onyx and of catheters with detachable tips has no doubt increased the rate of endovascular occlusion, and decreased the risks associated with treatment in our experience. Objective: The aim of the study was to assess the outcome of the use of Onyx in the treatment of intracranial AVMs as curative embolization or before neuro- or radiosurgery Patients and Methods: This analytical prospective study was conducted on 25 patients who were diagnosed with cerebral arteriovenous malformations and underwent endovascular embolization with EVOH copolymer with curative intent during the study period. Interventional procedures were done in the neuro –endovascular unit, neurosurgery department Ain Shams University Hospitals and associate neuroendovascular unit in El Matarya Teaching Hospital in the period between September 2014 and April 2017. Results: Actually comparing these results especially concerning the cure rate along with other studies was somewhat confusing and problematic owing to the diversity in results between studies across the last 15 years. Conclusion: For the cases that are not fulfilling these criteria, embolization should be offered as preparing step for other modality of treatment.  In our experience, for curative embolization, the AVM should be small sized (< 3 cm), supplied by one vascular territory, with feeders that can tolerate reflux up to 2–3 cm, with clear proximal parts of the draining veins, and not located in deep structures.

DOI

10.21608/ejhm.2018.13195

Keywords

arteriovenous malformations, dimethyl-sulfoxide

Authors

First Name

Husein El Sayed

Last Name

Mohram

MiddleName

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Affiliation

Department of Neurosurgery, Faculty of Medicine – Ain Shams University

Email

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City

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Orcid

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First Name

Mohamed Alaa EL Dein

Last Name

Habib

MiddleName

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Affiliation

Department of Neurosurgery, Faculty of Medicine – Ain Shams University

Email

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City

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Orcid

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First Name

Sherif Hashem

Last Name

Mourad

MiddleName

-

Affiliation

Department of Neurosurgery, Faculty of Medicine – Ain Shams University

Email

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City

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Orcid

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First Name

Ahmed Hassan

Last Name

Abo Zeid

MiddleName

-

Affiliation

Department of Neurosurgery, Faculty of Medicine – Ain Shams University

Email

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City

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Orcid

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First Name

Abd Allah

Last Name

Salem

MiddleName

Mouhammed Maher

Affiliation

Department of Neurosurgery, Faculty of Medicine – Ain Shams University

Email

abdallahmaher1985@gmail.com

City

-

Orcid

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Volume

73

Article Issue

3

Related Issue

2442

Issue Date

2018-10-01

Receive Date

2018-09-10

Publish Date

2018-10-01

Page Start

6,283

Page End

6,290

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_13195.html

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https://ejhm.journals.ekb.eg/service?article_code=13195

Order

15

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Outcome of Endovascular Treatment of Cerebral Arteriovenous Malformations with Ethylene Vinyl Alcohol Coploymer

Details

Type

Article

Created At

22 Jan 2023