Initial experience with precipitating hydrophobic injectable liquid in cerebral arteriovenous malformations

Background Precipitating hydrophobic injectable liquid is a newly introduced liquid embolic agent for endovascular embolization with some technical advantages over other liquid embolic agents. We present our initial experience with precipitating hydrophobic injectable liquid in the endovascular trea...

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Veröffentlicht in:Interventional neuroradiology 2019-02, Vol.25 (1), p.58-65
Hauptverfasser: Sirakov, Stanimir S, Sirakov, Alexander, Minkin, Krasimir, Hristov, Hristo, Ninov, Kristian, Penkov, Marin, Karakostov, Vasil, Orlov, Kirill, Gorbatykh, Anton, Kislitsin, Dmitry, Raychev, Radoslav
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container_end_page 65
container_issue 1
container_start_page 58
container_title Interventional neuroradiology
container_volume 25
creator Sirakov, Stanimir S
Sirakov, Alexander
Minkin, Krasimir
Hristov, Hristo
Ninov, Kristian
Penkov, Marin
Karakostov, Vasil
Orlov, Kirill
Gorbatykh, Anton
Kislitsin, Dmitry
Raychev, Radoslav
description Background Precipitating hydrophobic injectable liquid is a newly introduced liquid embolic agent for endovascular embolization with some technical advantages over other liquid embolic agents. We present our initial experience with precipitating hydrophobic injectable liquid in the endovascular treatment of cerebral arteriovenous malformations. Methods From October 2015 to January 2018, 27 patients harboring cerebral arteriovenous malformations underwent endovascular embolization with precipitating hydrophobic injectable liquid 25. Clinical features, angiographic results, procedural details, complications, and follow-up details were retrospectively analyzed. Results Twenty-seven patients with cerebral arteriovenous malformations were included. Total obliteration in one endovascular session was confirmed for 14/27 (52%) patients. Partial embolization was attained in 13 patients (48%) in whom staged treatment with following radiosurgery or surgery was planned. No mortality was recorded in this series. Complications during or after the embolization occurred in six of 27 (22.2%) patients. Conclusion In our initial experience, precipitating hydrophobic injectable liquid has acceptable clinical outcome comparable to other liquid embolic agents. Although this is the largest reported study in arteriovenous malformation treatment with precipitating hydrophobic injectable liquid, further studies are needed to validate its safety and efficacy.
doi_str_mv 10.1177/1591019918798808
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We present our initial experience with precipitating hydrophobic injectable liquid in the endovascular treatment of cerebral arteriovenous malformations. Methods From October 2015 to January 2018, 27 patients harboring cerebral arteriovenous malformations underwent endovascular embolization with precipitating hydrophobic injectable liquid 25. Clinical features, angiographic results, procedural details, complications, and follow-up details were retrospectively analyzed. Results Twenty-seven patients with cerebral arteriovenous malformations were included. Total obliteration in one endovascular session was confirmed for 14/27 (52%) patients. Partial embolization was attained in 13 patients (48%) in whom staged treatment with following radiosurgery or surgery was planned. No mortality was recorded in this series. Complications during or after the embolization occurred in six of 27 (22.2%) patients. Conclusion In our initial experience, precipitating hydrophobic injectable liquid has acceptable clinical outcome comparable to other liquid embolic agents. Although this is the largest reported study in arteriovenous malformation treatment with precipitating hydrophobic injectable liquid, further studies are needed to validate its safety and efficacy.</description><identifier>ISSN: 1591-0199</identifier><identifier>EISSN: 2385-2011</identifier><identifier>DOI: 10.1177/1591019918798808</identifier><identifier>PMID: 30223686</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Adult ; Angiography, Digital Subtraction ; AV Shunts ; Cerebral Angiography ; Child ; Dimethyl Sulfoxide - administration &amp; dosage ; Embolization, Therapeutic - methods ; Female ; Humans ; Intracranial Arteriovenous Malformations - diagnostic imaging ; Intracranial Arteriovenous Malformations - therapy ; Male ; Middle Aged ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Interventional neuroradiology, 2019-02, Vol.25 (1), p.58-65</ispartof><rights>The Author(s) 2018</rights><rights>The Author(s) 2018 2018 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-c51dc64f07d60ca25f669ff4fc17652a35c3a66329dbc369bf0153523168d9233</citedby><cites>FETCH-LOGICAL-c434t-c51dc64f07d60ca25f669ff4fc17652a35c3a66329dbc369bf0153523168d9233</cites><orcidid>0000-0002-7721-7449</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378517/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378517/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,21800,27903,27904,43599,43600,53768,53770</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30223686$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sirakov, Stanimir S</creatorcontrib><creatorcontrib>Sirakov, Alexander</creatorcontrib><creatorcontrib>Minkin, Krasimir</creatorcontrib><creatorcontrib>Hristov, Hristo</creatorcontrib><creatorcontrib>Ninov, Kristian</creatorcontrib><creatorcontrib>Penkov, Marin</creatorcontrib><creatorcontrib>Karakostov, Vasil</creatorcontrib><creatorcontrib>Orlov, Kirill</creatorcontrib><creatorcontrib>Gorbatykh, Anton</creatorcontrib><creatorcontrib>Kislitsin, Dmitry</creatorcontrib><creatorcontrib>Raychev, Radoslav</creatorcontrib><title>Initial experience with precipitating hydrophobic injectable liquid in cerebral arteriovenous malformations</title><title>Interventional neuroradiology</title><addtitle>Interv Neuroradiol</addtitle><description>Background Precipitating hydrophobic injectable liquid is a newly introduced liquid embolic agent for endovascular embolization with some technical advantages over other liquid embolic agents. We present our initial experience with precipitating hydrophobic injectable liquid in the endovascular treatment of cerebral arteriovenous malformations. Methods From October 2015 to January 2018, 27 patients harboring cerebral arteriovenous malformations underwent endovascular embolization with precipitating hydrophobic injectable liquid 25. Clinical features, angiographic results, procedural details, complications, and follow-up details were retrospectively analyzed. Results Twenty-seven patients with cerebral arteriovenous malformations were included. Total obliteration in one endovascular session was confirmed for 14/27 (52%) patients. Partial embolization was attained in 13 patients (48%) in whom staged treatment with following radiosurgery or surgery was planned. No mortality was recorded in this series. Complications during or after the embolization occurred in six of 27 (22.2%) patients. Conclusion In our initial experience, precipitating hydrophobic injectable liquid has acceptable clinical outcome comparable to other liquid embolic agents. Although this is the largest reported study in arteriovenous malformation treatment with precipitating hydrophobic injectable liquid, further studies are needed to validate its safety and efficacy.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Angiography, Digital Subtraction</subject><subject>AV Shunts</subject><subject>Cerebral Angiography</subject><subject>Child</subject><subject>Dimethyl Sulfoxide - administration &amp; dosage</subject><subject>Embolization, Therapeutic - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Intracranial Arteriovenous Malformations - diagnostic imaging</subject><subject>Intracranial Arteriovenous Malformations - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1591-0199</issn><issn>2385-2011</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1v1DAQxS0EotvCnRPKkUvAY6-d-IKEKj4qVeICZ8txxrteEju1nUL_e7zatgIkTiP5vfnNjB8hr4C-Bei6dyAUUFAK-k71Pe2fkA3jvWgZBXhKNke5Pepn5DznA6VScAXPyRmnjHHZyw35cRV88WZq8NeCyWOw2Pz0Zd8sCa1ffDHFh12zvxtTXPZx8Lbx4YC2mGHCZvI3qx_rS2Mx4ZAqx6RSOfEWQ1xzM5vJxTRXSAz5BXnmzJTx5X29IN8_ffx2-aW9_vr56vLDdWu3fFtaK2C0cutoN0pqDRNOSuXc1lnopGCGC8uNlJypcbBcqsFREFwwDrIfFeP8grw_cZd1mHG0GErdTC_Jzybd6Wi8_lsJfq938VZL3vUCugp4cw9I8WbFXPTss8VpMgHrVZoBVZyzjh6t9GS1Keac0D2OAaqPGel_M6otr_9c77HhIZRqaE-GbHaoD3FNoX7X_4G_AfhFnMs</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Sirakov, Stanimir S</creator><creator>Sirakov, Alexander</creator><creator>Minkin, Krasimir</creator><creator>Hristov, Hristo</creator><creator>Ninov, Kristian</creator><creator>Penkov, Marin</creator><creator>Karakostov, Vasil</creator><creator>Orlov, Kirill</creator><creator>Gorbatykh, Anton</creator><creator>Kislitsin, Dmitry</creator><creator>Raychev, Radoslav</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7721-7449</orcidid></search><sort><creationdate>20190201</creationdate><title>Initial experience with precipitating hydrophobic injectable liquid in cerebral arteriovenous malformations</title><author>Sirakov, Stanimir S ; Sirakov, Alexander ; Minkin, Krasimir ; Hristov, Hristo ; Ninov, Kristian ; Penkov, Marin ; Karakostov, Vasil ; Orlov, Kirill ; Gorbatykh, Anton ; Kislitsin, Dmitry ; Raychev, Radoslav</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-c51dc64f07d60ca25f669ff4fc17652a35c3a66329dbc369bf0153523168d9233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Angiography, Digital Subtraction</topic><topic>AV Shunts</topic><topic>Cerebral Angiography</topic><topic>Child</topic><topic>Dimethyl Sulfoxide - administration &amp; dosage</topic><topic>Embolization, Therapeutic - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Intracranial Arteriovenous Malformations - diagnostic imaging</topic><topic>Intracranial Arteriovenous Malformations - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sirakov, Stanimir S</creatorcontrib><creatorcontrib>Sirakov, Alexander</creatorcontrib><creatorcontrib>Minkin, Krasimir</creatorcontrib><creatorcontrib>Hristov, Hristo</creatorcontrib><creatorcontrib>Ninov, Kristian</creatorcontrib><creatorcontrib>Penkov, Marin</creatorcontrib><creatorcontrib>Karakostov, Vasil</creatorcontrib><creatorcontrib>Orlov, Kirill</creatorcontrib><creatorcontrib>Gorbatykh, Anton</creatorcontrib><creatorcontrib>Kislitsin, Dmitry</creatorcontrib><creatorcontrib>Raychev, Radoslav</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Interventional neuroradiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sirakov, Stanimir S</au><au>Sirakov, Alexander</au><au>Minkin, Krasimir</au><au>Hristov, Hristo</au><au>Ninov, Kristian</au><au>Penkov, Marin</au><au>Karakostov, Vasil</au><au>Orlov, Kirill</au><au>Gorbatykh, Anton</au><au>Kislitsin, Dmitry</au><au>Raychev, Radoslav</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Initial experience with precipitating hydrophobic injectable liquid in cerebral arteriovenous malformations</atitle><jtitle>Interventional neuroradiology</jtitle><addtitle>Interv Neuroradiol</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>25</volume><issue>1</issue><spage>58</spage><epage>65</epage><pages>58-65</pages><issn>1591-0199</issn><eissn>2385-2011</eissn><abstract>Background Precipitating hydrophobic injectable liquid is a newly introduced liquid embolic agent for endovascular embolization with some technical advantages over other liquid embolic agents. We present our initial experience with precipitating hydrophobic injectable liquid in the endovascular treatment of cerebral arteriovenous malformations. Methods From October 2015 to January 2018, 27 patients harboring cerebral arteriovenous malformations underwent endovascular embolization with precipitating hydrophobic injectable liquid 25. Clinical features, angiographic results, procedural details, complications, and follow-up details were retrospectively analyzed. Results Twenty-seven patients with cerebral arteriovenous malformations were included. Total obliteration in one endovascular session was confirmed for 14/27 (52%) patients. Partial embolization was attained in 13 patients (48%) in whom staged treatment with following radiosurgery or surgery was planned. No mortality was recorded in this series. Complications during or after the embolization occurred in six of 27 (22.2%) patients. Conclusion In our initial experience, precipitating hydrophobic injectable liquid has acceptable clinical outcome comparable to other liquid embolic agents. Although this is the largest reported study in arteriovenous malformation treatment with precipitating hydrophobic injectable liquid, further studies are needed to validate its safety and efficacy.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>30223686</pmid><doi>10.1177/1591019918798808</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-7721-7449</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Angiography, Digital Subtraction
AV Shunts
Cerebral Angiography
Child
Dimethyl Sulfoxide - administration & dosage
Embolization, Therapeutic - methods
Female
Humans
Intracranial Arteriovenous Malformations - diagnostic imaging
Intracranial Arteriovenous Malformations - therapy
Male
Middle Aged
Retrospective Studies
Treatment Outcome
title Initial experience with precipitating hydrophobic injectable liquid in cerebral arteriovenous malformations
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