Onyx embolization for isolated type dural arteriovenous fistula using a dual-lumen balloon catheter

Jin Woo Kim, Byung Moon Kim, Keun Young Park, Dong Joon Kim, Dong Ik Kim

Research output: Contribution to journalArticle

9 Citations (Scopus)

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. ABBREVIATION: i-DAVFs, isolated dural arteriovenous fistulas.

Original languageEnglish
Pages (from-to)627-636
Number of pages10
JournalNeurosurgery
Volume78
Issue number5
DOIs
Publication statusPublished - 2016 May 1

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Central Nervous System Vascular Malformations
Catheters
Injections

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Kim, Jin Woo ; Kim, Byung Moon ; Park, Keun Young ; Kim, Dong Joon ; Kim, Dong Ik. / Onyx embolization for isolated type dural arteriovenous fistula using a dual-lumen balloon catheter. In: Neurosurgery. 2016 ; Vol. 78, No. 5. pp. 627-636.
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title = "Onyx embolization for isolated type dural arteriovenous fistula using a dual-lumen balloon catheter",
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. ABBREVIATION: i-DAVFs, isolated dural arteriovenous fistulas.",
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Onyx embolization for isolated type dural arteriovenous fistula using a dual-lumen balloon catheter. / Kim, Jin Woo; Kim, Byung Moon; Park, Keun Young; Kim, Dong Joon; Kim, Dong Ik.

In: Neurosurgery, Vol. 78, No. 5, 01.05.2016, p. 627-636.

Research output: Contribution to journalArticle

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T1 - Onyx embolization for isolated type dural arteriovenous fistula using a dual-lumen balloon catheter

AU - Kim, Jin Woo

AU - Kim, Byung Moon

AU - Park, Keun Young

AU - Kim, Dong Joon

AU - Kim, Dong Ik

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N2 - 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. ABBREVIATION: i-DAVFs, isolated dural arteriovenous fistulas.

AB - 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. ABBREVIATION: i-DAVFs, isolated dural arteriovenous fistulas.

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