Embolization of brain arteriovenous malformations with the diluted Onyx technique: initial experience.

Abstract:

PURPOSE:Insufficient nidus occlusion is a matter of great concern to routine Onyx embolization of brain arteriovenous malformations (AVMs). This paper described an efficient method which using the diluted Onyx embolization technique to treat brain AVM. METHODS:The diluted Onyx technique was performed in a series of 15 patients with brain AVMs (10 males, 5 females; age range, 11-44 years). It consists of initial embolization with routine Onyx-18, followed by the diluted Onyx (1.5 mL of Onyx-18 diluted with 0.5 mL of DMSO) through the same microcatheter. The technical skills and angiographic and clinical outcomes were analyzed. RESULTS:A total of 15 embolization sessions were performed with diluted Onyx via 16 arterial feeders in these 15 patients. Each patient underwent one attempt of diluted Onyx through a single feeder except one patient. In this patient, the AVM was simultaneously embolized with diluted Onyx through double microcatheters which were placed in two feeders. When the length of reflux reached to 2 cm (or close to the determined length) and the embolic material could not move distally any more despite some rounds of "injection-reflux-waiting," regular Onyx 18 was changed to diluted Onyx. Antegrade flow of embolic material into the nidus was observed in 12 cases but failed in 3. An average of 90% (range 55-100%) estimated size reduction was achieved, and 6 AVMs were completely obliterated. No functionally relevant complications occurred. CONCLUSION:The diluted Onyx technique could be a useful adjunct to routine Onyx embolization which may offer more embolic material penetrating into the nidus of AVM, but additional work is needed to validate this technique.

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Xu H,Wang L,Guan S,Li D,Quan T

doi

10.1007/s00234-019-02176-2

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

471-478

issue

4

eissn

0028-3940

issn

1432-1920

pii

10.1007/s00234-019-02176-2

journal_volume

61

pub_type

杂志文章
  • Gadolinium deposition within the dentate nucleus and globus pallidus after repeated administrations of gadolinium-based contrast agents-current status.

    abstract:INTRODUCTION:Gadolinium-based contrast agents (GBCAs) have been used clinically since 1988 for contrast-enhanced magnetic resonance imaging (CE-MRI). Generally, GBCAs are considered to have an excellent safety profile. However, GBCA administration has been associated with increased occurrence of nephrogenic systemic fi...

    journal_title:Neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00234-016-1658-1

    authors: Stojanov D,Aracki-Trenkic A,Benedeto-Stojanov D

    更新日期:2016-05-01 00:00:00

  • Does registration of serial MRI improve diagnosis of dementia?

    abstract:INTRODUCTION:We aimed to assess the value of a second MR scan in the radiological diagnosis of dementia. METHODS:One hundred twenty subjects with clinical follow-up of at least 1 year with two scans were selected from a cognitive disorders clinic. Scans were reviewed as a single first scan (method A), two unregistered...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-010-0665-x

    authors: Barnes J,Mitchell LA,Kennedy J,Bastos-Leite AJ,Barker S,Lehmann M,Nordstrom RC,Frost C,Smith JR,Garde E,Rossor MN,Fox NC

    更新日期:2010-11-01 00:00:00

  • Serial MRI in the early postoperative period after lumbar discectomy.

    abstract::The aim of this study was to determine MRI findings in patients successfully operated upon for lumbar disc herniation. We investigated 20 patients with a successful outcome after L4-5 or L5-S1 disc operations clinically and with MRI preoperatively, and at 5 days, 6 weeks, and 4 months after surgery. Postoperatively, T...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF01578253

    authors: Annertz M,Jönsson B,Strömqvist B,Holtås S

    更新日期:1995-04-01 00:00:00

  • Myelography in lumboperitoneal shunts.

    abstract::Lumboperitoneal shunts have become more prevalent since the introduction of Silastic tubing. One disadvantage of this procedure is the difficulty in obtaining a subsequent myelogram. In the presence of a lumboperitoneal shunt, it may be advisable to modify the usual technique in obtaining a satisfactory myelogram. Use...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00339200

    authors: Wand A,Lane B

    更新日期:1982-01-01 00:00:00

  • The demonstration of the auditory ossicles by high resolution CT.

    abstract::The high resolution CT scanning system introduced by EMI in 1978 has added a new dimension to computerised tomography in otology. The apparatus used for this study was an EMI CT 5005 body scanner adapted for head and neck scanning and incorporating a high resolution facility. The latter has proved most advantageous in...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00327687

    authors: Lloyd GA,du Boulay GH,Phelps PD,Pullicino P

    更新日期:1979-12-12 00:00:00

  • Tailored antiplatelet agent medication in clopidogrel hyporesponsive patients before stent-assisted coiling: single-center experience.

    abstract:PURPOSE:In patients requiring stent procedures, resistance or hyperresponsiveness to antiplatelet medications is often observed. This study aims to evaluate the efficacy and safety of tailoring medications in these patients. METHODS:This retrospective study included 223 patients who underwent endovascular treatment fo...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-020-02496-8

    authors: Kurniawan RG,Song Y,Kwon B,Ahn Y,Suh DC

    更新日期:2020-12-01 00:00:00

  • Further experience with contrast-enhanced CT in head trauma.

    abstract::Abnormal contrast enhancement was seen in 196 (39.8%) of 492 CT scans performed on patients for evaluation of head trauma. It proved most helpful in the diagnosis of isodense subdural hematomas and contusions. The advantages of contrast-enhanced CT scans in the evaluation of head trauma more than compensate for the ad...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00395286

    authors: Tsai FY,Huprich JE

    更新日期:1978-01-01 00:00:00

  • Potential mechanisms of cerebellar hypoplasia in prematurity.

    abstract:INTRODUCTION:The cerebellum undergoes dramatic growth and maturation over the neonatal period after preterm birth and is thus particularly sensitive to impaired development due to various clinical factors. METHODS:Impairments in growth can occur independent of cerebellar parenchymal damage, such as from local hemorrha...

    journal_title:Neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00234-013-1230-1

    authors: Tam EW

    更新日期:2013-09-01 00:00:00

  • MRI of primary meningeal sarcomas in two children: differential diagnostic considerations.

    abstract::Meningeal sarcomas are very rare, highly aggressive tumours affecting children more frequently than adults. The clinical course and MRI of meningeal sarcomas in two cases are discussed with special regard to possible misinterpretation. In one case MRI demonstrated a circumscribed mass in contact with the meninges, wit...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002340050399

    authors: Pfluger T,Weil S,Weis S,Bise K,Egger J,Hadorn HB,Hahn K

    更新日期:1997-03-01 00:00:00

  • Intracranial carotid artery disease in patients with recent neurological symptoms: high prevalence on CTA.

    abstract:INTRODUCTION:Novel postprocessing techniques have enabled accurate quantification of intracranial carotid atherosclerotic disease on CT Angiography (CTA). Our purpose was to estimate the prevalence of intracranial carotid artery disease, i.e., stenosis and calcium, on CTA in patients with recent neurological symptoms. ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-012-1097-6

    authors: Marquering HA,Nederkoorn PJ,Bleeker L,van den Berg R,Majoie CB

    更新日期:2013-02-01 00:00:00

  • Reflux venous flow in dural sinus and internal jugular vein on 3D time-of-flight MR angiography.

    abstract:INTRODUCTION:Reflux venous signal on the brain and neck time-of-flight magnetic resonance angiography (TOF MRA) is thought to be related to a compressed left brachiocephalic vein. This study is aimed to assess the prevalence of venous reflux flow in internal jugular vein (IJV), sigmoid sinus/transverse sinus (SS/TS), a...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-013-1239-5

    authors: Jang J,Kim BS,Kim BY,Choi HS,Jung SL,Ahn KJ,Byun JY

    更新日期:2013-10-01 00:00:00

  • Growth rate of multiple intracranial hydatid cysts assessed by CT from the time of embolisation.

    abstract::We report the case of a 25-year-old man with multiple bilateral hydatid cysts of the brain in whom we were able to assess the growth rate of the cysts on repeated examination. On average, the cysts increased in diameter by 1 cm per month. ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002340050607

    authors: Evliyaoglu C,Yuksel M,Gul B,Kaptanoglu E,Yaman M

    更新日期:1998-06-01 00:00:00

  • Potentiation of Amipaque epileptogenic activity by neuroleptics.

    abstract::Experiments conducted on rabbits confirmed that chlorpromazine potentiates the weak epileptogenic action of Amipaque (metrizamide). Chlorpromazine withdrawal for a period of 48 h suppresses this potentiating effect in the rabbit. Neuroleptic drugs should therefore be avoided in patients examined with Amipaque. In pati...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00399884

    authors: Gonsette RE,Brucher JM

    更新日期:1977-08-25 00:00:00

  • Metrizamide demonstration of the subarachnoid space surrounding the Gasserian ganglion.

    abstract::The chance opacification of the subarachnoid space surrounding the Gasserian ganglion, observed during metrizamide basal cisternography, is reported. This is compared to similar demonstrations of the optic subarachnoid space. Such infrequently observed images should be known because they may be related to the occurren...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00376712

    authors: Christmann D,Babin E

    更新日期:1980-01-01 00:00:00

  • Tuberculoma en plaque: CT.

    abstract::A 35-year-old woman presented with a 6-month history of intermittent headaches, vomiting and dizziness. CT showed a plaque-like mass with tiny calcifications along the surface of the left frontal lobe. The mass exhibited heterogeneous enhancement with a few low-density foci. Underlying sulcal obliteration and enhancem...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00607273

    authors: Ng SH,Tang LM,Lui TN,Ko SF,Wong HF,Wai YY,Wan YL

    更新日期:1996-07-01 00:00:00

  • Mobile myelographic filling defects: spinal cysticercosis.

    abstract::Cysticercosis usually affects the brain and is easily demonstrated by CT. Spinal cysticercosis is much rarer and is usually diagnosed only at surgery. Myelographic demonstration of multiple rounded filling defects, some of which were mobile, allowed diagnosis of spinal extramedullary cysticercosis in an unsuspected ca...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00327891

    authors: Savoiardo M,Cimino C,Passerini A,La Mantia L

    更新日期:1986-01-01 00:00:00

  • Limitations of routine neuroimaging in predicting outcomes of preterm infants.

    abstract:INTRODUCTION:Preterm births are increasing in number and while the rates of cerebral palsy have declined, there are increasing numbers of infants who survive with handicaps. In some studies, up to 50 % of children will have morbidity when followed up to school age. METHODS:A review of current literature was conducted ...

    journal_title:Neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00234-013-1238-6

    authors: Whyte HE,Blaser S

    更新日期:2013-09-01 00:00:00

  • Duplicate origin of the vertebral artery: report of two cases.

    abstract::We report two cases showing duplicate origin of the vertebral artery; one with fenestaration of the distal portion of the left vertebral artery. ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00451774

    authors: Hashimoto H,Ohnishi H,Yuasa T,Kawaguchi S

    更新日期:1987-01-01 00:00:00

  • Stent-assisted coiling of wide-neck bifurcation aneurysms with a branch incorporated in the aneurysm base: long-term follow-up in 49 patients with 53 aneurysms.

    abstract:PURPOSE:Wide-neck bifurcation intracranial aneurysms (WNBA) with a branch incorporated in the aneurysm base remain difficult to treat by embolization. We aim to report our long-term follow-up of stent-assisted coiling (SAC) in this subgroup of patients. METHODS:This study was approved by our local ethical committee. A...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-017-1834-y

    authors: Lubicz B,Morais R,Bruyère PJ,Ligot N,Mine B

    更新日期:2017-06-01 00:00:00

  • Needle diameter in outpatient myelography: rates of adverse effects and current practice trends.

    abstract::Telephone calls were made to 1251 consecutive patients one day following outpatient myelography. Data were available on 518 patients punctured with 22-gauge (g) (large-diameter) and 465 with 25-g (small-diameter) spinal needles. We surveyed 48 academic and private practice groups regarding needle diameter use in myelo...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002340050902

    authors: Woodcock RJ,Marx WF,Johnson RM,Lowe JM,Lipper MH,Kallmes DF

    更新日期:2000-05-01 00:00:00

  • In vivo quantitative whole-brain diffusion tensor imaging analysis of APP/PS1 transgenic mice using voxel-based and atlas-based methods.

    abstract:INTRODUCTION:Diffusion tensor imaging (DTI) has been applied to characterize the pathological features of Alzheimer's disease (AD) in a mouse model, although little is known about whether these features are structure specific. Voxel-based analysis (VBA) and atlas-based analysis (ABA) are good complementary tools for wh...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-013-1195-0

    authors: Qin YY,Li MW,Zhang S,Zhang Y,Zhao LY,Lei H,Oishi K,Zhu WZ

    更新日期:2013-08-01 00:00:00

  • MRA versus digital subtraction angiography in acute subarachnoid haemorrhage: a blinded multireader study of prospectively recruited patients.

    abstract::We performed a blinded multireader study comparing MR angiography (MRA) with digital subtraction angiography (DSA) in 34 prospectively recruited patients who presented with acute subarachnoid haemorrhage (SAH). Two observers independently reviewed the MRA and DSA studies some months after clinical presentation. Presen...

    journal_title:Neuroradiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s002340050892

    authors: Jäger HR,Mansmann U,Hausmann O,Partzsch U,Moseley IF,Taylor WJ

    更新日期:2000-05-01 00:00:00

  • Diffusion and perfusion MRI for the localisation of epileptogenic foci in drug-resistant epilepsy.

    abstract::Drug-resistant epilepsy is an important clinical challenge, both diagnostically and therapeutically. More and more surgical options are being considered, but precise presurgical assessment is necessary. We prospectively studied eight patients with drug-resistant epilepsy, who underwent clinical examination, single pho...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-002-0785-z

    authors: Heiniger P,el-Koussy M,Schindler K,Lövblad KO,Kiefer C,Oswald H,Wissmeyer M,Mariani L,Donati F,Schroth G,Weder B

    更新日期:2002-06-01 00:00:00

  • Visualization of an acoustic neurinoma by radioisotope cisternography.

    abstract::A case of acoustic neurinoma is reported. Clinical symptoms were typical, but brain scan, EEG, X-rays and the first CT failed to demonstrate the expected tumor. ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00329070

    authors: Breitschuh E,Facorro L,Emrich D

    更新日期:1978-05-31 00:00:00

  • Accelerated territorial arterial spin labeling based on shared rotating control acquisition: an observer study for validation.

    abstract:INTRODUCTION:Shared rotating control acquisition can shorten the imaging time of territorial arterial spin labeling (tASL) by 33% compared with the normal control acquisition scheme but potentially results in an inaccurate estimate of vascular territories due to imperfect magnetization transfer compensation. Our purpos...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-011-0919-2

    authors: Kamano H,Yoshiura T,Hiwatashi A,Yamashita K,Takayama Y,Nagao E,Sagiyama K,Zimine I,Honda H

    更新日期:2012-01-01 00:00:00

  • Differences in complication rates among the centres in the SPACE study.

    abstract:INTRODUCTION:Despite the high grade of standardisation of study protocols, there is still room for variability among the centres in specific treatment aspects. We evaluated the treatment risk in stent-protected angioplasty of the carotid versus endarterectomy (SPACE) associated with the specific patient enrollment rate...

    journal_title:Neuroradiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00234-008-0459-6

    authors: Fiehler J,Jansen O,Berger J,Eckstein HH,Ringleb PA,Stingele R

    更新日期:2008-12-01 00:00:00

  • Dural arteriovenous malformations at the base of the anterior cranial fossa: report of nine cases.

    abstract::Nine men with dural arteriovenous malformations (DAVM) at the base of the anterior cranial fossa are described. Four patients had intracerebral haemorrhage and four had seizures, associated with haemorrhage in two. In three cases the fistula was an incidental finding. In five cases the diagnosis could be made before a...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00588378

    authors: Reul J,Thron A,Laborde G,Brückmann H

    更新日期:1993-01-01 00:00:00

  • Hypertrophic nerve roots in a case of Roussy-Lévy syndrome.

    abstract::Hypertrophic radiculopathy is a rare feature of neuropathies. Single cases of enlarged nerve roots have been described in hereditary motor sensory neuropathies (HMSN) and chronic inflammatory demyelinating diseases (CIDP). This is the first description of hypertrophied nerve roots in a patient with Roussy-Lévy syndrom...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-002-0847-2

    authors: Haubrich C,Krings T,Senderek J,Züchner S,Schröder JM,Noth J,Töpper R

    更新日期:2002-11-01 00:00:00

  • Computed tomography of a post traumatic spinal arachnoid cyst.

    abstract::A case of post-traumatic arachnoid spinal cyst with haemorrhagic contents is presented. CT findings were indistinguishable from those of epidural or subdural haematomas. The use of CT myelography permits a more accurate diagnosis by localizing the lesion into one of the three spaces. In our case, bleeding into a preex...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00344183

    authors: Teruel Agustin JJ,Gómez Martinench E,Castanyer Corretger F,Cando Salcines L,Davalos Errando A

    更新日期:1989-01-01 00:00:00

  • Regional cerebral blood flow levels as measured by xenon-CT in vascular territorial low-density areas after subarachnoid hemorrhage are not always ischemic.

    abstract:INTRODUCTION:The aim of this study was to assess regional cerebral blood flow (rCBV) in areas of CT hypoattenuation appearing in the postoperative period in patients treated for aneurysmal subarachnoid hemorrhage (SAH) using xenon-enhanced CT scanning (Xe-CT). METHODS:We analyzed 15 patients (5 male and 10 female; mea...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-006-0111-2

    authors: Fainardi E,Tagliaferri MF,Compagnone C,Tanfani A,Cocciolo F,Battaglia R,Frattarelli M,Pascarella R,Targa L,Chieregato A

    更新日期:2006-09-01 00:00:00