form-phy

7 - 8 - 9 of December 2016

Advanced Live Interventional Course of Essen

Course Director : Prof. René Chapot

Live Case 5
Alice The Course
2016

PATIENT 5 - Clinical Data
Spetzler IV AVM to be treated by transvenous embolization

  • Spetzler IV frontal AVM
  • Previous episode of bleeding and seizures
  • Embolization 20 years ago with various materials
  • Development of numerous anastomosis via left MCA and meningeal circulation after proximal occlusion of left A2
  • Previous embolization of several flow related aneurysms of the posterior circulation
  • Embolization within several steps of most indirect feeders from MCA with downgrading of AVM from Spetzler IV to Spetzler I
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Occlusion of supply from MCA in several steps

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Occlusion of supply from MCA in several steps

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Occlusion of supply from MCA in several steps

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Occlusion of supply from MCA in several steps

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Occlusion of supply from MCA in several steps

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Treatment strategy

  • Jugular approach
  • Navigation with Sonic or Marathon retrogradely through outflow vein
  • Microcatheterisation MCA left with Magic for arterial control
 
 

 

 

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