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Transarterial balloon-assisted glue embolization of high-flow arteriovenous fistulas

  • Interventional Neuroradiology
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Abstract

Introduction

We report here our experience in treating high-flow arteriovenous fistulas (AVFs) of the brain and spine using balloon-assisted glue injection.

Methods

During a 3-year period (2003–2005) five patients with high-flow AVFs were treated at our hospital using transarterial balloon-assisted glue injection. There were two pial AVFs, one dural AVF, one vein of Galen malformation and one perimedullary AVF of the cervical spine. All patients were clinically followed-up for 12–48 months.

Results

Immediate angiographic obliteration was achieved in all patients. The fistulas remained closed in all patients, as ascertained by follow up-angiograms. No new neurological deficits related to the procedure were detected. Clinically, one patient with severe pre-treatment neurological deficit experienced excellent recovery.

Conclusion

Transarterial balloon-assisted glue embolization of high-flow AVFs is a feasible and efficient treatment. This technique affords more control in the glue injection and minimizes the risk of distal embolization.

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We declare that we have no conflict of interest.

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Correspondence to Ioannis Ioannidis.

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Andreou, A., Ioannidis, I. & Nasis, N. Transarterial balloon-assisted glue embolization of high-flow arteriovenous fistulas. Neuroradiology 50, 267–272 (2008). https://doi.org/10.1007/s00234-007-0322-1

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  • DOI: https://doi.org/10.1007/s00234-007-0322-1

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