Supratentorial arteriovenous malformation treatment with Onyx-18:Possibility and predictors of curative embolization
会议名称：《2014浙江省神经外科学学术年会》
会议日期：2014年
学科分类：1002[医学-临床医学] 100204[医学-神经病学] 10[医学]
摘 要：BACKGROUD AND PURPOSE:Onyx is increasingly used in endovascular therapy of brain arteriovenous malformations(AVMs).However,the curative effect and post-embolic complication are still *** study aims to assess the outcomes,complications and angiographic predictors of curative effect after Onyx-18 embolization for supratentorial brain AVMs(sbAVMs).MATERIALS AND METHODS:The clinical and angiographic characteristics of130 consecutive patients with sbAVMs embolization in our institutions from 2005-2008were retrospectively *** these patients were embolized by Onyx-18 for the first *** and multivariate analyses were conducted to assess the angiographic features in patients with and without total occlusion of ***:In 130 patients with sbAVMs were embolized by Onyx-18,there were28 complete(21.54%),and 102 non-complete embolization(78.46%).Non-technical peri-procedural hemorrhage occurs in 5 cases,transient neurological deficit in 13 cases,persistent neurological deficit in 9 cases,and 1 *** is no significant difference on complications between patients with and without complete *** univariate analyses,small size(≤3cm),single feeding artery,double feeding artery,terminal feeders,single drainage vein,superficial venous drainage and Spetzler-Matin I-II were associated with cure by embolization(p0.05).Single drainage vein(p=0.003)and 1-2feeding arteries(p=0.009)were correlated with AVM volume reduction in multivariate ***:Onyx-18 embolization for sbAVMs could achieve excellent *** embolization can be achieved by low morbidity,and not correlated with *** draining vein and 1-2 arterial feeders could be predictive for curative embolization.