A New Technique for Transvenous Embolization of Brain Arteriovenous Malformations in Hybrid Operation
First author:Wang Ming-Ze
Corresponding author:Zhao Ji-Zong
2018-12-20
Journal:Chin Med J (Engl)
Publication type: Correspondence/Letter
IF(IF): 1.555
PMID: 30539915 Link To Pubmed Full text Download
A unique transvenous approach, which performed a direct puncture (DP) of the superficial draining vein (SDV) in the operative field, overcame the shortcoming above. It was first reported in an operation on superficial spinal arteriovenous fistula and acted as an emergency remedy for critical bleeding. On the platform of one‑stage hybrid operation, interventional and surgical procedures could be combined complementarily which could forestall the difficulties and limitations of each single method. The technique of DP‑SDV was planned to establish a transvenous approach in the patients whose regular arterial and venous approaches were inaccessible.
In our study, two bAVM patients were cured successfully by one‑stage hybrid operations, in which transvenous embolization was implemented with DP‑SDV technique. The technique was validated in both of the cases and induced the effective transvenous embolization of their lesions.