The Official Journal of the Japanese Society of Interventional Radiology
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
Fundamentals of Interventional Neuroradiology
Role of Endovascular Treatment for Arteriovenous Malformations
Tatsuya IshikawaYohei MineharuHirotoshi ImamuraNobuyuki Sakai
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2013 Volume 28 Issue 1 Pages 37-43

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Abstract
Embolization of arteriovenous malformations (AVMs) is commonly used to achieve nidal volume reduction before surgical extirpation and stereotactic radiosurgery. Two commonly used liquid embolics are N-butyl cyanoacrylate (NBCA) and OnyxTM. OnyxTM is a nonadhesive agent with longer polymerization time leading to better penetration of the nidus compared with NBCA. In our department, 20 patients with AVMs were treated with OnyxTM. 16 patients underwent a surgical resection, and 3 underwent radiosurgical treatment. Angiographically, more than 75% obliteration was achieved in 16 patients (80%). Procedure-related permanent neurological deficits were observed in 3 patients. OnyxTM embolization is a safe and effective treatment for AVMs.
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