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Onyx Embolization for Isolated Type Dural Arteriovenous Fistula Using a Dual-Lumen Balloon Catheter.

Authors
 Jin Woo Kim  ;  Byung Moon Kim  ;  Keun Young Park  ;  Dong Joon Kim  ;  Dong Ik Kim 
Citation
 NEUROSURGERY, Vol.78(5) : 627-636, 2016 
Journal Title
 NEUROSURGERY 
ISSN
 0148-396X 
Issue Date
2016
MeSH
Adult ; Aged ; Balloon Embolectomy/methods* ; Catheterization ; Catheters ; Central Nervous System Vascular Malformations/therapy* ; Dimethyl Sulfoxide* ; Embolization, Therapeutic/methods* ; Female ; Humans ; Male ; Middle Aged ; Polyvinyls* ; Retrospective Studies ; Treatment Outcome
Keywords
Dual-lumen balloon ; Dural arteriovenous fistula ; Embolization ; Onyx
Abstract
BACKGROUND: Utilization of a dual-lumen balloon may improve Onyx penetration into isolated dural arteriovenous fistulas (i-DAVFs). OBJECTIVE: To compare the results of Onyx embolization using a dual-lumen balloon with those using a non-balloon catheter for i-DAVFs. METHODS: Twenty-nine patients underwent Onyx embolization for i-DAVFs using a non-balloon (n = 14) or a dual-lumen balloon catheter (n = 15). Since its introduction, a dual-lumen balloon catheter has been preferred. We compared the dual-lumen balloon group with the non-balloon catheter group regarding angiographic outcome, treatment-related complications, total procedural time, Onyx injection time, and the number of feeders requiring embolization. RESULTS: The dual-lumen balloon group showed complete occlusion of i-DAVFs in 13 and near-complete in 2 patients, while the non-balloon group showed complete occlusion in 5, near-complete in 5, and incomplete in 4 patients (P < .05). Treatment-related complications occurred in 2 patients: 1 in the non-balloon group and 1 in the dual-lumen balloon group. The mean total procedural time was 62 ± 32 minutes in the dual-lumen balloon and 171 ± 88 minutes in the non-balloon group (P < .05). The mean Onyx injection time was 10 ± 6 minutes in the dual-lumen balloon and 49 ± 32 minutes in the non-balloon group (P < .05). The median number of feeders requiring embolization was 1 (range, 1-3) in the dual-lumen balloon and 2 (range, 1-4) in the non-balloon group (P < .05). CONCLUSION: Utilization of a dual-lumen balloon catheter for Onyx embolization of i-DAVF seemed to significantly increase the immediate complete occlusion rate and decrease total procedural time, Onyx injection time, and number of feeders requiring embolization.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006123-201605000-00004&LSLINK=80&D=ovft
DOI
10.1227/NEU.0000000000001069
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Ik(김동익)
Kim, Dong Joon(김동준) ORCID logo https://orcid.org/0000-0002-7035-087X
Kim, Byung Moon(김병문) ORCID logo https://orcid.org/0000-0001-8593-6841
Kim, Jin Woo(김진우)
Park, Keun Young(박근영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146807
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