CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2017; 01(03): 171-174
DOI: 10.1055/s-0037-1603824
Case Report
Indian Society of Vascular and Interventional Radiology

Percutaneous Embolization of Scalp Arteriovenous Malformation Using New Liquid Embolic Agent, SQUID: A Technical Report

Santhosh Kumar Kannath
1   Department of Imaging Sciences and Interventional Radiology, Neurointervention Center, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
,
Jayadevan Enakshy Rajan
1   Department of Imaging Sciences and Interventional Radiology, Neurointervention Center, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
› Author Affiliations
Further Information

Publication History

16 January 2017

05 May 2017

Publication Date:
01 September 2017 (online)

Abstract

Scalp arteriovenous malformations (AVMs) are rare extracranial vascular malformations that are traditionally treated by surgical excision or by combined endovascular-surgical approaches. We describe percutaneous treatment of scalp AVM, using a new liquid embolic agent, SQUID. Because of its nonadhesive property, prolonged injection and complete obliteration of scalp AVM is feasible. The cast formed is aesthetically appealing to the patient, and it may obviate the need for further surgical excision. It could be considered as the primary treatment option for patients unwilling for surgery.

Contributions of Authors

Santhosh Kumar Kannath contributed in concept, design, data analysis, data interpretation, manuscript preparation, and critical revision, and Jayadevan Enakshy Rajan contributed in data analysis, data interpretation, manuscript preparation, and critical revision.


 
  • References

  • 1 Gupta AK, Purkayastha S, Bodhey NK. , et al. Endovascular treatment of scalp cirsoid aneurysms. Neurol India 2008; 56 (02) 167-172
  • 2 Fisher-Jeffes ND, Domingo Z, Madden M, de Villiers JC. Arteriovenous malformations of the scalp. Neurosurgery 1995; 36 (04) 656-660 , discussion 660
  • 3 Nagasaka S, Fukushima T, Goto K, Ohjimi H, Iwabuchi S, Maehara F. Treatment of scalp arteriovenous malformation. Neurosurgery 1996; 38 (04) 671-677 , discussion 677
  • 4 Han MH, Seong SO, Kim HD, Chang KH, Yeon KM, Han MC. Craniofacial arteriovenous malformation: preoperative embolization with direct puncture and injection of n-butyl cyanoacrylate. Radiology 1999; 211 (03) 661-666
  • 5 Ryu CW, Whang SM, Suh DC. , et al. Percutaneous direct puncture glue embolization of high-flow craniofacial arteriovenous lesions: a new circular ring compression device with a beveled edge. AJNR Am J Neuroradiol 2007; 28 (03) 528-530
  • 6 Dabus G, Pizzolato R, Lin E, Kreusch A, Linfante I. Endovascular treatment for traumatic scalp arteriovenous fistulas: results with Onyx embolization. J Neurointerv Surg 2014; 6 (05) 405-408
  • 7 Arat A, Cil BE, Vargel I. , et al. Embolization of high-flow craniofacial vascular malformations with Onyx. AJNR Am J Neuroradiol 2007; 28 (07) 1409-1414
  • 8 Dalyai RTZ, Schirmer CM, Malek AM. Transvenous balloon-protected embolization of a scalp arteriovenous fistula using Onyx liquid embolic. Acta Neurochir (Wien) 2011; 153 (06) 1285-1290
  • 9 Thiex R, Wu I, Mulliken JB, Greene AK, Rahbar R, Orbach DB. Safety and clinical efficacy of Onyx for embolization of extracranial head and neck vascular anomalies. AJNR Am J Neuroradiol 2011; 32 (06) 1082-1086
  • 10 Matsushige T, Kiya K, Satoh H, Mizoue T, Kagawa K, Araki H. Arteriovenous malformation of the scalp: case report and review of the literature. Surg Neurol 2004; 62 (03) 253-259
  • 11 Burrus TM, Miller GM, Flynn LP, Fulgham JR, Lanzino G. NeuroImages. Symptomatic left temporal arteriovenous traumatic fistula. Neurology 2009; 73 (07) 570
  • 12 Feng L, Mattson-Gates G, Sosa V. , et al. P-018 curative transvenous embolisation of craniofacial arteriovenous malformation. J NeuroIntervent Surg 2010; 2 (Suppl. 01) A23