Transarterial Onyx Embolization of Cranial Dural Arteriovenous Fistulas: Long-Term Follow-Up

R.V. Chandra; T.M. Leslie-Mazwi; B.P. Mehta; A.J. Yoo; J.D. Rabinov; J.C. Pryor; J.A. Hirsch; R.G. Nogueira

doi:10.3174/ajnr.A3938

Research ArticleInterventional

Transarterial Onyx Embolization of Cranial Dural Arteriovenous Fistulas: Long-Term Follow-Up

R.V. Chandra, T.M. Leslie-Mazwi, B.P. Mehta, A.J. Yoo, J.D. Rabinov, J.C. Pryor, J.A. Hirsch and R.G. Nogueira

American Journal of Neuroradiology September 2014, 35 (9) 1793-1797; DOI: https://doi.org/10.3174/ajnr.A3938

R.V. Chandra

aFrom the Neuroradiology and Neurovascular Surgery Services, Departments of Diagnostic Imaging and Surgery (R.V.C.), Monash University, Melbourne, Victoria, Australia

Find this author on Google Scholar
Find this author on PubMed
Search for this author on this site

T.M. Leslie-Mazwi

bNeuroendovascular Service (T.M.L.-M., B.P.M., A.J.Y., J.D.R., J.A.H.)

cDepartment of Neurology (T.M.L.-M., B.P.M.)

Find this author on Google Scholar
Find this author on PubMed
Search for this author on this site

B.P. Mehta

bNeuroendovascular Service (T.M.L.-M., B.P.M., A.J.Y., J.D.R., J.A.H.)

cDepartment of Neurology (T.M.L.-M., B.P.M.)

Find this author on Google Scholar
Find this author on PubMed
Search for this author on this site

A.J. Yoo

bNeuroendovascular Service (T.M.L.-M., B.P.M., A.J.Y., J.D.R., J.A.H.)

dDepartment of Radiology (A.J.Y., J.D.R., J.A.H.), Division of Diagnostic Neuroradiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts

Find this author on Google Scholar
Find this author on PubMed
Search for this author on this site

J.D. Rabinov

bNeuroendovascular Service (T.M.L.-M., B.P.M., A.J.Y., J.D.R., J.A.H.)

dDepartment of Radiology (A.J.Y., J.D.R., J.A.H.), Division of Diagnostic Neuroradiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts

Find this author on Google Scholar
Find this author on PubMed
Search for this author on this site

J.C. Pryor

eDepartment of Interventional Neuroradiology (J.C.P.), Boston University, Boston, Massachusetts

Find this author on Google Scholar
Find this author on PubMed
Search for this author on this site

J.A. Hirsch

bNeuroendovascular Service (T.M.L.-M., B.P.M., A.J.Y., J.D.R., J.A.H.)

dDepartment of Radiology (A.J.Y., J.D.R., J.A.H.), Division of Diagnostic Neuroradiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts

Find this author on Google Scholar
Find this author on PubMed
Search for this author on this site

R.G. Nogueira

fNeuroendovascular and Neurocritical Care Services and Neurology, Neurosurgery, and Radiology (R.G.N.), Marcus Stroke and Neuroscience Center, Grady Memorial Hospital, Emory University School of Medicine, Atlanta, Georgia.

Find this author on Google Scholar
Find this author on PubMed
Search for this author on this site

Article
Figures & Data
Info & Metrics
Responses
References
PDF

Article Figures & Data

Tables

View popup

Table 1:

Baseline characteristics of study cohort (n = 40 patients with 41 cDAVFs)

Characteristic	No. of Patients
Age (mean; range)	57 (30–79)
Male (%)	21 (53%)
Presentation
Tinnitus	14 (35%)
Hemorrhage	13 (33%)
Incidental/nonspecific headache syndrome	10 (25%)
Seizure	2 (5%)
Superficial siderosis	1 (2%)
Cognard grade
I	5 (12%)
IIA	3 (7%)
IIB	3 (7%)
IIA+B	4 (10%)
III	15 (37%)
IV	11 (27%)
Borden grade
I	8 (15%)
II	7 (22%)
III	26 (63%)

View popup

Table 2:

Procedural characteristics of study cohort (n = 41 DAVFs)

Characteristic	No.
No. of feeding pedicles (mean, range)	4 (1–10)
Total No. of embolization procedures	49
No. of embolization procedures per patient (mean; range)	1.2 (1–3)
No. of single-stage embolizations	35 (85%)
Complications (n = 49 embolization procedures)
Technical events	5 (10%)
All clinical events	7 (14%)
Transient neurologic	1 (2%)
Permanent neurologic	1 (2%)
Death	0

View popup
Table 3:
Procedural effectiveness at time of treatment, short- and long-term follow-up
Procedural Effectiveness (No. of patients) Angiographic Cure (No.)
At end of final treatment (40) 35 (95%)
Short-term angiographic follow-up^{^a} (35) 33 (94%)
Long-term angiographic follow-up^{^b} (24) 24 (100%)
↵a Short-term follow-up occurred at a median of 4.2 months (2–12 months).
↵b Long-term angiographic follow-up occurred at a median of 28.2 months (12–63 months).

PreviousNext

In this issue

American Journal of Neuroradiology

Vol. 35, Issue 9

1 Sep 2014

Table of Contents
Index by author
Complete Issue (PDF)

Download PDF

Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Your Email *

Your Name *

Send To *

Enter multiple addresses on separate lines or separate them with commas.

You are going to email the following Transarterial Onyx Embolization of Cranial Dural Arteriovenous Fistulas: Long-Term Follow-Up

Message Subject (Your Name) has sent you a message from American Journal of Neuroradiology

Message Body (Your Name) thought you would like to see the American Journal of Neuroradiology web site.

Your Personal Message

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Cite this article

R.V. Chandra, T.M. Leslie-Mazwi, B.P. Mehta, A.J. Yoo, J.D. Rabinov, J.C. Pryor, J.A. Hirsch, R.G. Nogueira

Transarterial Onyx Embolization of Cranial Dural Arteriovenous Fistulas: Long-Term Follow-Up

American Journal of Neuroradiology Sep 2014, 35 (9) 1793-1797; DOI: 10.3174/ajnr.A3938

Citation Manager Formats

BibTeX
Bookends
EasyBib
EndNote (tagged)
EndNote 8 (xml)
Medlars
Mendeley
Papers
RefWorks Tagged
Ref Manager
RIS
Zotero

0 Responses

Respond to this article

Bookmark this article

User Name *

Password *

Remember my user name & password.

Transarterial Onyx Embolization of Cranial Dural Arteriovenous Fistulas: Long-Term Follow-Up

R.V. Chandra, T.M. Leslie-Mazwi, B.P. Mehta, A.J. Yoo, J.D. Rabinov, J.C. Pryor, J.A. Hirsch, R.G. Nogueira

American Journal of Neuroradiology Sep 2014, 35 (9) 1793-1797; DOI: 10.3174/ajnr.A3938

Share This Article:

Tweet Widget
Facebook Like
Google Plus One

Purchase

Jump to section

Article
Figures & Data
Info & Metrics
Responses
References
PDF

No related articles found.

PubMed
Google Scholar

Cited By...

Long-term risk of hemorrhage and mortality after treatment of high-grade intracranial dural arteriovenous fistulas
Long-term risk of hemorrhage and mortality after treatment of high-grade intracranial dural arteriovenous fistulas
Efficacy and safety of the PHIL embolic agent in the treatment of intracranial dural arteriovenous fistulas: results of the PHIL-dAVF study
The Influence of Angioarchitectural Features on the Success of Endovascular Embolization of Cranial Dural Arteriovenous Fistulas with Onyx
Beam hardening artifacts of liquid embolic agents: comparison between Squid and Onyx
Outcome of transarterial treatment of dural arteriovenous fistulas with direct or indirect cortical venous drainage
Incompletely obliterated cranial arteriovenous fistulae are safely and effectively treated with adjuvant {varepsilon}-aminocaproic acid
Preliminary experience with the liquid embolic material agent PHIL (Precipitating Hydrophobic Injectable Liquid) in treating cranial and spinal dural arteriovenous fistulas: technical note

Crossref (56)
Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

Polymeric materials for embolic and chemoembolic applications

Azadeh Poursaid, Mark Martin Jensen, Eugene Huo, Hamidreza Ghandehari

Journal of Controlled Release 2016 240
Evolution of treatment and a detailed analysis of occlusion, recurrence, and clinical outcomes in an endovascular library of 260 dural arteriovenous fistulas

Bradley A. Gross, Felipe C. Albuquerque, Karam Moon, Cameron G. McDougall

Journal of Neurosurgery 2016 126 6
Transarterial Onyx Embolization of Intracranial Dural Fistulas: A Prospective Cohort, Systematic Review, and Meta-Analysis

Udi Sadeh-Gonike, Nicolas Magand, Xavier Armoiry, Roberto Riva, Paul Emile Labeyrie, Bernadette Lamy, Anne-Claire Lukaszewicz, Jean-Jacques Lehot, Francis Turjman, Benjamin Gory

Neurosurgery 2018 82 6
Preliminary experience with the liquid embolic material agent PHIL (Precipitating Hydrophobic Injectable Liquid) in treating cranial and spinal dural arteriovenous fistulas: technical note

Joe J Leyon, Swarupsinh Chavda, Allan Thomas, Saleh Lamin

Journal of NeuroInterventional Surgery 2016 8 6
Liquid Embolic Agents for Endovascular Embolization: A Review

Amrita Pal, Jeffrey Blanzy, Karime Jocelyn Rosas Gómez, Mark C. Preul, Brent L. Vernon

Gels 2023 9 5
Beam hardening artifacts of liquid embolic agents: comparison between Squid and Onyx

Raoul Pop, Luc Mertz, Annamaria Ilyes, Dan Mihoc, Johann Sebastian Richter, Monica Manisor, Stéphane Kremer, Rémy Beaujeux

Journal of NeuroInterventional Surgery 2019 11 7
A hemorrhagic complication after Onyx embolization of a tentorial dural arteriovenous fistula: A caution about subdural extension with pial arterial supply

Kenichi Sato, Yasushi Matsumoto, Hidenori Endo, Teiji Tominaga

Interventional Neuroradiology 2017 23 3
Treatment Outcomes According to Various Treatment Modalities for Intracranial Dural Arteriovenous Fistulas in the Onyx Era: A 10-Year Single-Center Experience

Sol Hooy Oh, Jai Ho Choi, Bum-Soo Kim, Kwan Sung Lee, Yong Sam Shin

World Neurosurgery 2019 126
Middle meningeal artery: Gateway for effective transarterial Onyx embolization of dural arteriovenous fistulas

Christoph J. Griessenauer, Lucy He, Mohamed Salem, Michelle H. Chua, Christopher S. Ogilvy, Ajith J. Thomas

Clinical Anatomy 2016 29 6
Outcome after intracranial haemorrhage from dural arteriovenous fistulae; a systematic review and case-series

W. M. T. Jolink, J. M. C. van Dijk, C. J. J. van Asch, G. A. P. de Kort, A. Algra, R. J. M. Groen, G. J. E. Rinkel, C. J. M. Klijn

Journal of Neurology 2015 262 12

Main menu

User menu

Search

American Journal of Neuroradiology

Transarterial Onyx Embolization of Cranial Dural Arteriovenous Fistulas: Long-Term Follow-Up

Article Figures & Data

Tables

In this issue

Citation Manager Formats

Related Articles

Cited By...

More in this TOC Section

Similar Articles

Indexed Content

Cases

Special Collections

Resources

Multimedia

About Us

American Society of Neuroradiology

Procedural Effectiveness (No. of patients)	Angiographic Cure (No.)
At end of final treatment (40)	35 (95%)
Short-term angiographic follow-up^{^a} (35)	33 (94%)
Long-term angiographic follow-up^{^b} (24)	24 (100%)