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Updated: Mar 1, 2026

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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Meningioma embolization with the pressure cooker technique using Squid 12
Zoltán Szatmáry1, Jan Hillman1, Stephanos Finitsis2
11 Linköping University Hospital, Neurosurgery, Sweden.
Summary
The pressure cooker technique (PCT) with Squid 12 offers improved meningioma embolization, enabling deeper tumor penetration and enhanced devascularization for better surgical outcomes.
Area of Science:
- Neurosurgery
- Interventional Neuroradiology
- Oncology
Background:
- Preoperative embolization of meningiomas utilizes microparticles or liquid agents.
- The pressure cooker technique (PCT) is a novel method for embolizing brain arteriovenous malformations (AVMs).
Observation:
- A 73-year-old woman with a large frontal interhemispheric meningioma underwent successful preoperative embolization.
- The PCT was employed using Squid 12, an ethyl-vinyl alcohol copolymer embolic agent.
Findings:
- The PCT facilitated deeper and faster tumor penetration compared to conventional methods.
- This technique allowed embolization of a tumor with challenging vascular access.
- Retrograde filling of pial afferents was successfully achieved.
Implications:
- The PCT with Squid 12 shows potential for more effective meningioma embolization.
- Increased tumor devascularization may lead to improved surgical resection outcomes.
- This approach could enhance the management of complex meningiomas.

