GLUE EMBOLISATION OF INTRACRANIAL AND EXTRACRANIAL ARTERIOVENOUS MALFORMATIONS

Authors

  • Francis Hui MBBS FRCR FAMS Department of Diagnostic Imaging, Tan Tock Seng Hospital
  • Kheng-Hin Lee MBBS FRCS (E) FRCS (G) FAMS Consultant Neurosurgeon, Gleneagles Hospital
  • Peck-Leong Ong MBBS FRACS Department of Neurosurgery, Tan Tock Seng Hospital
  • Samuel Ng MBBS FRCR FAMS Department of Diagnostic Imaging, Tan Tock Seng Hospital
  • Hong-Khim Boey MBBS FRCR FAMS Department of Diagnostic Imaging, Tan Tock Seng Hospital

Abstract

Anteriovenous malformations of the head are formidable to treat. Embolisation with N Butyl Cyanoacrylate glue was carried out in 22 patients; 16 had cerebral AVMs, 4 had facial AVMs and 2 patients had dural AVMs. Complete obliteration of the shunt by the endovascular route was achieved in 7 patients. Altogether, 15 patients were cured by embolisation alone or in combination with surgery. Embolisation enhanced subsequent surgical or radiosurgical management by reducing nidus size, occluding intra nidal aneurysms and decreasing flow through the shunt. 3 more patients have not completed surgery or are awaiting follow up after radiosurgery. 2 permanent complications occurred, one deficit was mild and the other moderate in severity. Glue embolisation was found to be very effective in the treatment of patients with intra and extracranial AVMs.

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Published

2023-03-30

How to Cite

1.
Hui MBBS FRCR FAMS F, Lee MBBS FRCS (E) FRCS (G) FAMS K-H, Ong MBBS FRACS P-L, Ng MBBS FRCR FAMS S, Boey MBBS FRCR FAMS H-K. GLUE EMBOLISATION OF INTRACRANIAL AND EXTRACRANIAL ARTERIOVENOUS MALFORMATIONS. ASEAN J Radiol [Internet]. 2023 Mar. 30 [cited 2024 Nov. 21];1(3):35-47. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/264

Issue

Vol. 1 No. 3 (1995): September-December

Section

Original Article

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