Case of the week #2 🚨 Treating an AV-Fistula in 25mins 😮

Our approach to treating a high-grade fistula with the so-called balloon-augmented pressure cooker technique.
With a focus on the arterial way to attack the AV shunt with liquid embolics #Onyx, this is probably the fastest and safest way to go with. This minimizes the chances of complications and gives an optimal outcome. As usual, a #radial approach was preferred for the case.
Materials:
Radial-stick with 7F short sheath
· 4F Vertebral guide-catheter
· 7F 079 RIST catheter
· Scepter Mini balloon-catheter
· Scepter C balloon-catheter
· DMSO
· Onyx 18
More details on the pressure cooker technique here:
• #radialfirst balloon-a...
Scepter Mini™ occlusion balloon catheter preparation:
• Scepter Mini™ occlusio...

[@fransvandenbergh]

Great teaching video from Marios, and his team as always. Thanks a lot!

[@davorpavlin-premrl2412]

Amazing stuff guys. Very high quality video and work.

[@onestopinstroke]

Much appreciated!

[@kabiitohassan9941]

Great case , nice strategy

[@onestopinstroke]

🙏🙏🙏

[@user-lc4qc1be7n]

Great teaching video! 👏

[@onestopinstroke]

Thank you! 😃

[@kabiitohassan9941]

The middle meningeal looks small , did you use sceptor mean still ? Why no magic microcatheter?

[@onestopinstroke]

Magic is also a great choice!
I guess the scepter mini gives you more security regarding reflux that’s why we chose it 🙂

[@m1ke86]

is it an AVM or a dAVF?

[@onestopinstroke]

Fistula!
dAVF 👌