Preoperative Onyx embolization of intracranial arteriovenous malformations: a single center early experience
https://doi.org/10.17650/1683-3295-2024-26-4-22-27
Abstract
Introduction. Intracranial arteriovenous malformations (AVM) are considered one of the life-threatening pathologies which are challenging to manage. Endovascular embolization of intracranial AVMs is a line of management which developed over the past two decades to downgrade the lesion, a step is thought to make surgeries of more favorable outcome.
Patients and methods. All patients who were diagnosed with brain AVM in Mansoura University Hospitals between January 2017 through December 2022 were retrospectively analyzed. Clinical and radiological outcome were studied, as well as surgeons’ satisfaction and procedural difficulties.
Results. Nine patients met the criteria for multimodal management, seven of them were female, mean age of the group 36 years. Patients’ mRS remained unchanged after embolization sessions, one patient had an added neurological deficit in the form of increased severity of motor deficit after surgery, which was reversible during follow up period, mean follow up period is 103 days.
Conclusion. Pre-operative embolization is a safe tool to be added to the muti-modal treatment of high grades cerebral AVM’s with good outcome and feasible surgical technique.
Keywords
intracranial arteriovenous malformations,
muti-modal treatment,
hybrid techniques,
Onyx embolization,
preoperative embolization
Supporting agencies: The work was performed without external funding
About the Authors
M. M. Elsherbini
Mansoura University
Egypt
Egypt
Faculty of Medicine; Neurosurgery Department
Mansoura
M. M. Nabeeh
Mansoura University
Egypt
Egypt
Faculty of Medicine; Neurosurgery Department
Mansoura
M. A. Kassem
Mansoura University
Egypt
Egypt
Faculty of Medicine; Neurosurgery Department
Mansoura
A. Ezz Eldin
Mansoura University
Egypt
Egypt
Faculty of Medicine; Neurosurgery Department
Mansoura
M. Farouk
Mansoura University
Egypt
Egypt
Faculty of Medicine; Neurosurgery Department
Mansoura
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Review
For citations:
Elsherbini M.M., Nabeeh M.M., Kassem M.A., Ezz Eldin A., Farouk M. Preoperative Onyx embolization of intracranial arteriovenous malformations: a single center early experience. Russian journal of neurosurgery. 2024;26(4):22-27. https://doi.org/10.17650/1683-3295-2024-26-4-22-27
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