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Balloon Pressure Technique with the Scepter Mini Balloon as Part of the Endovascular Strategy for Brain Arteriovenous Malformations Embolization : Preliminary Multicenter Experience.
Clarençon, Frédéric; Papagiannaki, Chrysanthi; Saleme, Suzanna; Rouchaud, Aymeric; Shotar, Eimad; Rius, Emily; Burel, Julien; Boch, Anne-Laure; Sourour, Nader-Antoine; Mounayer, Charbel.
Afiliación
  • Clarençon F; Sorbonne University, Paris, France. frederic.clarencon@aphp.fr.
  • Papagiannaki C; GRC BioFast, Sorbonne University, Paris, France. frederic.clarencon@aphp.fr.
  • Saleme S; Department of Radiology, Rouen University Hospital, Rouen, France.
  • Rouchaud A; Department of Neuroradiology, Limoges University Hospital, Limoges, France.
  • Shotar E; Department of Neuroradiology, Limoges University Hospital, Limoges, France.
  • Rius E; University of Limoges, Limoges, France.
  • Burel J; Department of Neuroradiology, Pitié-Salpêtrière Hospital, 47 Bd de l'Hôpital, 75013, Paris, France.
  • Boch AL; Department of Neuroradiology, Pitié-Salpêtrière Hospital, 47 Bd de l'Hôpital, 75013, Paris, France.
  • Sourour NA; Department of Radiology, Rouen University Hospital, Rouen, France.
  • Mounayer C; Department of Neurosurgery, APHP-Sorbonne University, Paris, France.
Clin Neuroradiol ; 33(4): 1055-1065, 2023 Dec.
Article en En | MEDLINE | ID: mdl-37401950
BACKGROUND: The balloon pressure technique (BPT) is an alternative to the pressure cooker technique. A dual lumen balloon (DLB) is used to inject the liquid embolic agent through the working lumen while the balloon is inflated. The purpose of our study was to report our early experience using the Scepter Mini dual lumen balloons for BPT in brain arteriovenous malformation (bAVM) embolization. MATERIAL AND METHODS: Consecutive patients treated from July 2020 to July 2021 in 3 tertiary centers using the BPT with low-profile dual lumen balloons (Scepter Mini, Microvention, Tustin, CA, USA) by endovascular means for bAVMs were retrospectively reviewed. Patient demographics and bAVM angio-architectural features were collected. The feasibility of Scepter Mini balloon navigation close to the nidus was evaluated. Technical as well as clinical (ischemic and/or hemorrhagic) complications were also systematically assessed. The occlusion rate was evaluated on follow-up DSA. RESULTS: A total of 19 patients (10 females; mean age = 38.2 years) consecutively treated for a bAVM (8 ruptured/11 unruptured) using the BPT with a Scepter Mini through 23 embolization sessions were included in our series. Navigation of the Scepter Mini was feasible in all cases. Of the patients 3 (16%) had procedure-related ischemic stroke and 2 patients (10.5%) had late hemorrhages. None of these complications led to severe permanent sequela. Complete occlusion of bAVM embolized with intention to cure was recorded in 11/13 cases (84.6%). CONCLUSION: The BPT using low-profile dual lumen balloons is feasible and seems safe for embolization of bAVMs. It may help to reach high occlusion rates, especially when performed in the intent to cure by embolization only.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Malformaciones Arteriovenosas / Malformaciones Arteriovenosas Intracraneales / Oclusión con Balón / Embolización Terapéutica Límite: Adult / Female / Humans Idioma: En Revista: Clin Neuroradiol Asunto de la revista: NEUROLOGIA / RADIOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Malformaciones Arteriovenosas / Malformaciones Arteriovenosas Intracraneales / Oclusión con Balón / Embolización Terapéutica Límite: Adult / Female / Humans Idioma: En Revista: Clin Neuroradiol Asunto de la revista: NEUROLOGIA / RADIOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Alemania