Type:
Educational Exhibit
Keywords:
Arteriovenous malformations, Treatment effects, Embolisation, Contrast agent-intravenous, CT-Angiography, CT, Catheter arteriography, Neuroradiology brain, Interventional vascular, Emergency
Authors:
E. Montes Figueroa1, A. Gil Garcia1, E. Marín Diez1, Y. Lamprecht1, E. G. HERRERA ROMERO2, A. B. Barba Arce3, J. Azcona Saenz1, E. Torres Diez1, A. GONZALEZ MANDLY1; 1Santander/ES, 2Santander, cantabria/ES, 3Torrelavega, Cantabria/ES
DOI:
10.26044/ecr2019/C-1572
Conclusion
The treatment of AVMs is complex,
and often there is no single therapeutic alternative.
The new techniques of embolization offer an option for the management of AVMs,
which although not risk free and are difficult procedures,
are a faster option than the radiosurgery,
reducing the risk of bleeding over time,
and lower risk than the surgery.
The AVMs are a complex entity,
serious and difficult to manage and treat.
This is why the percutaneous treatment with embolization is used more frequently using new materials and techniques.
These new techniques such the pressure cooker technique,
and new material like the DMSO compatible catheters are a good answer to the manage brain AVMs,
sowing good results.
There are two main liquid embolic agents (LEA) used in the treatment of things, Onyx and PHIL,
both offer different advantages although still more studies are needed to check the indications of each one.
These described advances for the management of brain AVMs,
are a good therapeutic option for this complex entitie in which the treatment options are few,
reason why endovascular treatment is probably presented as the technique of choice for the majority of the cases.