Transvenous Embolization Technique for Brain Arteriovenous Malformations
Related Experiment Video
Updated: Sep 28, 2025

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Muhammad Waqas1, Ammad A Baig1, Elad I Levy2
1Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, NY, USA; University at Buffalo Neurosurgery, 100 High Street, Suite B4, Buffalo, NY 14203, USA.
Abstract:
Transvenous embolization is potentially curative for small AVMs with favorable anatomic features, such as inaccessible arterial feeders, deep location, and/or a single draining vein. Successful embolization requires the control of arterial blood flow and successful navigation of the draining vein. This allows permeation of the embolizate into the nidus. Arterial inflow may be controlled using a hypercompliant balloon or systemic hypotension. We have described the use of transvenous rapid ventricular pacing and adenosine to achieve transient controlled hypotension. This requires a multidisciplinary approach, yet provides high chances of complete obliteration of the AVM.
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