Transarterial balloon-assisted glue embolization of high-flow arteriovenous fistulas

Neuroradiology. 2008 Mar;50(3):267-72. doi: 10.1007/s00234-007-0322-1. Epub 2007 Oct 25.


Introduction: We report here our experience in treating high-flow arteriovenous fistulas (AVFs) of the brain and spine using balloon-assisted glue injection.

Methods: During a 3-year period (2003-2005) five patients with high-flow AVFs were treated at our hospital using transarterial balloon-assisted glue injection. There were two pial AVFs, one dural AVF, one vein of Galen malformation and one perimedullary AVF of the cervical spine. All patients were clinically followed-up for 12-48 months.

Results: Immediate angiographic obliteration was achieved in all patients. The fistulas remained closed in all patients, as ascertained by follow up-angiograms. No new neurological deficits related to the procedure were detected. Clinically, one patient with severe pre-treatment neurological deficit experienced excellent recovery.

Conclusion: Transarterial balloon-assisted glue embolization of high-flow AVFs is a feasible and efficient treatment. This technique affords more control in the glue injection and minimizes the risk of distal embolization.

MeSH terms

  • Adolescent
  • Adult
  • Arteriovenous Fistula / diagnosis
  • Arteriovenous Fistula / therapy*
  • Balloon Occlusion / instrumentation
  • Balloon Occlusion / methods*
  • Blood Flow Velocity
  • Cerebral Angiography
  • Child
  • Cyanoacrylates / administration & dosage
  • Female
  • Humans
  • Intracranial Arteriovenous Malformations / diagnosis
  • Intracranial Arteriovenous Malformations / therapy*
  • Iodized Oil / administration & dosage
  • Magnetic Resonance Imaging
  • Male
  • Treatment Outcome


  • Cyanoacrylates
  • glubran
  • Iodized Oil