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7 - 8 - 9 of December 2016

Advanced Live Interventional Course of Essen

Course Director : Prof. René Chapot

Live Case 11
Alice The Course
2016

PATIENT 11
Remnant after first embolization of a temporal AVM to be treated by venous approach

  • Seizures
  • Unruptured right temporal AVM fed by en passage feeders
  • Balloon occlusion test failed
  • Embolization of en passage feeders with subtotal occlusion
  • Reccurence from multiple anastomosis from MCA and meningeal arteries
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Occlusion test

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No collaterals

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After initial embolization

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After initial embolization

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Control at 3 months

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Treatment strategy

  • Retrograde venous approach with two microcatheters
  • Retrograde pressure cooker and embolization with Onyx
  • In case of failure of venous navigation, meningeal approach and embolization with Onyx
 
 

 

 

main-topics

 

JOIN ALICE 2016

Main Topics of ALICE 2016:

Aneurysms

How many balloons?
Where and how to place stents?
Are Flow Diverters to be considered in distal bifurcation aneurysms?
How to retrieve stents?
Which place for Web and Medina coils?
Comaneci, an alternative to balloons?

Antiagregants and Anticoagulants

What we know and what we don’t know

AVMs and Dural Fistulae

Pressure Cooker Technique or Double lumen balloon?
Complications in venous approach for AVMs
Onyx, Squid, Phil or glue?
Multiple balloons in venous remodeling

Intracranial Stenosis

Double lumen balloons for intracranial stenosis Which stents to be used?

Thrombectomies

Thrombectomie with underlying MCA stenosis : which level of antiagregation?
Results of combined thrombectomie and ICA stenting
Is there still a need for IV lysis?
When to achieve distal aspiration?

 

 

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7 - 8 - 9 of December 2016

Advanced Live Interventional Course of Essen