Progressive thrombosis of brain arteriovenous malformations after embolization with isobutyl 2-cyanoacrylate

Embolization of brain arteriovenous malformations (AVMs) with isobutyl 2-cyanoacrylate (IBCA) is an alternative to surgical treatment when dealing with large AVMs with multiple arterial feeders. The deposition of IBCA in the nidus of the AVM may produce an active and progressive thrombosis that may...

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Bibliographic Details
Published in:American journal of neuroradiology : AJNR 1983-11, Vol.4 (6), p.1233-1238
Main Authors: Vinuela, F, Fox, AJ, Debrun, G, Drake, CG, Peerless, SJ, Girvin, JP
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Bucrylate - therapeutic use
Case Reports
Cerebral Angiography
Cerebral Hemorrhage - therapy
Cyanoacrylates - therapeutic use
Embolization, Therapeutic - methods
Female
Humans
Intracranial Arteriovenous Malformations - diagnostic imaging
Intracranial Arteriovenous Malformations - therapy
Intracranial Embolism and Thrombosis - diagnostic imaging
Male
Medical sciences
Neurology
Postoperative Complications - diagnostic imaging
Prognosis
Tomography, X-Ray Computed
Vascular diseases and vascular malformations of the nervous system
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Summary:Embolization of brain arteriovenous malformations (AVMs) with isobutyl 2-cyanoacrylate (IBCA) is an alternative to surgical treatment when dealing with large AVMs with multiple arterial feeders. The deposition of IBCA in the nidus of the AVM may produce an active and progressive thrombosis that may lead to complete occlusion of the nidus and/or to progressive thrombosis of the draining veins. Four clinical examples of progressive thrombosis after IBCA embolization are demonstrated, including two cases in which late follow-up angiography showed complete obliteration of a partly embolized AVM.
ISSN:0195-6108
1936-959X