Platinum microcoils for embolisation of brain arteriovenous malformations
Platinum microcoils are a suitable embolic agent for the endovascular treatment of cerebral arteriovenous malformations (AVMs). Our experience with over 200 embolisations in more than 50 patients showed that coil embolisation of AVMs is a safe, effective and well-tolerated procedure. Coils are used primarily for preoperative embolisation, but are also of value to reduce the size of an AVM to a degree that allows stereotactic radiation. Since coil embolisation appears to be very safe, it is especially recommended for the rare cases of palliative AVM embolisation. Despite some disadvantages (e.g. high costs of the material, the long time required to introduce many coils, restrictions in catheter choice), platinum microcoils can replace other embolic agents in endovascular AVM treatment indicated for various different conditions.
Key wordsMalformations, arteriovenous Coil occlusion Endovascular therapy
Unable to display preview. Download preview PDF.
- 3.Hilal SK, Khandji AG, Chi TL, Stein BM, Bello JA; Silver AJ, Schumacher KJ (1988) Synthetic fiber-coated platinum coils successfully used for endovascular treatment of arteriovenous malformations, aneuryms and direct arteriovenous fistula of the CNS. AJNR 9:1030.Google Scholar
- 5.Nahser HC, Kühne D (1993) Strategy of endovascular treatment of mixed plexiform and fistulous intracranial arteriovenous malformations. In: Lorenz R, Klinger M, Brock M (eds) Advances in neurosurgery, vol 21. Springer, Berlin Heidelberg New York, pp 290–292.Google Scholar