Research Article
Volume 12 Issue 8 - 2020
Curative Embolization of Small Brain Arteriovenous Malformation by Non-Adhesive Liquid (Ethyl Vinyl Alcohol Copolymer): A Retrospecive Study from Tertiary Care Centre
Sharad B Ghatge1,2*, Nirmal S Surya3, Nootan K Sharma4 and Dhaval B Modi2
1Division of Interventional Radiology, Department of Radiology and Imaging, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India
2Department of Interventional Neuroradiology, Bombay Hospital, Mumbai, India
3Department of Neurology, Bombay Hospital, Mumbai, India
4Honorary Consultant Neurosurgeon, LH Hiranandani Hospital and Ex. Department of Neurosurgery, Bombay Hospital, Mumbai, India
*Corresponding Author: Sharad B Ghatge, Division of Interventional Radiology, Department of Radiology and Imaging, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India.
Received: July 02, 2020; Published: July 10, 2020




Abstract

Background and Objective: A Randomised trial of Unruptured Brain Arteriovenous malformations (ARUBA) trial has favoured treatment of unruptured AVM by best medical management alone. However critics have generally accepted treatment of Low grade AVM by neurosurgery and deep, eloquent AVM by radiosurgery. Objective of this study is to retrospectively examine effectiveness of embolization by non adhesive liquid embolic agent (ethyl vinyl alcohol copolymer) for complete cure of small Brain AVM.

Methods: We retrospectively analyzed patients with small brain AVM treated by embolization during January 2008 to January 2020. The primary goal was to cure it completely. There were 16 patients with 9 males and 7 females. Their age was ranging from 18 to 38 years with mean of 30 years. There were 5 patients with ruptured and 11 with unruptured AVM.

Results: Twenty embolization sessions were done in 16 patients. Twelve patients had undergone single session each and 4 patients with two sessions each. Fifteen out of sixteen patients were cured completely with embolization alone (93.75% Obliteration rate). The one patient (6.25%) required SRS to achieve complete cure for the residual AVM after two sessions of embolization. Non permanent complication rate was 18.75%. There were no deaths.

Conclusion: Embolization of small brain AVM with intension to cure by non Adhesive liquid embolic agent can deliver obliteration rate of 93.75%. Complication rate associated with embolization in our small retrospective study is 18.75% with no permanent disability or deaths.

Keywords: Curarive Embolization; Brain AVM; Non-Adhesive Embolic Liquid (EVOH)

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Citation: Sharad B Ghatge., et al. “Curative Embolization of Small Brain Arteriovenous Malformation by Non-Adhesive Liquid (Ethyl Vinyl Alcohol Copolymer): A Retrospecive Study from Tertiary Care Centre”. EC Neurology 12.8 (2020): 58-76.

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