The transvenous pressure cooker technique: A treatment for brain arteriovenous malformations

The treatment of brain arteriovenous malformations (AVMs) remains a significant challenge, especially hemorrhagic AVMs which are unsuitable for microsurgery or radiosurgery. We demonstrate an AVM located in the left basal ganglia area, supplied by slender arteries, and treated by the transvenous pressure cooker technique. Herein, we describe the procedure and outline the crucial points and indications for this technique.

[1]  C. Mounayer,et al.  Transvenous Embolization in Pediatric Plexiform Arteriovenous Malformations. , 2016, Neurosurgery.

[2]  A. Consoli,et al.  Curative Transvenous Onyx Embolization of a Maxillary Arteriovenous Malformation in a Child: Report of a New Technique. , 2016, The Journal of craniofacial surgery.

[3]  M. Lawton,et al.  Transvenous Approach to Intracranial Arteriovenous Malformations: Challenging the Axioms of Arteriovenous Malformation Therapy? , 2015, Neurosurgery.

[4]  C. Colonnese,et al.  Brain AVMs: An Endovascular, Surgical, and Radiosurgical Update , 2014, TheScientificWorldJournal.

[5]  R. Chapot,et al.  The pressure cooker technique for the treatment of brain AVMs. , 2014, Journal of neuroradiology. Journal de neuroradiologie.

[6]  A. Consoli,et al.  Endovascular Treatment of Deep Hemorrhagic Brain Arteriovenous Malformations with Transvenous Onyx Embolization , 2013, American Journal of Neuroradiology.

[7]  T. Massoud.  Transvenous retrograde nidus sclerotherapy under controlled hypotension (TRENSH): hemodynamic analysis and concept validation in a pig arteriovenous malformation model. , 2013, Neurosurgery.

[8]  C. Mounayer,et al.  Successful Transvenous Embolization of Brain Arteriovenous Malformations Using Onyx in Five Consecutive Patients , 2011, Neurosurgery.

[9]  H. Cloft,et al.  Intercavernous Sinus Dural Arteriovenous Fistula Successfully Treated with Transvenous Embolization , 2011, Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences.

[10]  H. Steiger,et al.  Retrograde venonidal microsurgical obliteration of brain stem AVM: a clinical feasibility study , 2009, Acta Neurochirurgica.