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Embolization with Onyx

Elderly gentleman presented with history of brain haemorrhage. He had abnormal cluster of blood vessels of brain ( Called arteriovenopus malformation, AVM) with balloon like projection called aneurysm on one of the blood vessels supplying this cluster.
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Left Internal Carotid Artery - AP view shows AVM.
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Left Internal Carotid Artery Lateral View shows the aneurysm ( shown by small arrow) and AVM ( shown by large arrow)
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AVM Nidus (big arrow) and Feeding artery aneurysm ( small arrow)
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Lateral view of skull showing ONYX cast in AVM     Nidus    (Large arrow)    and       coil in aneurysm ( small arrow) 

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AP view of skull showing ONYX cast and coil in aneurysm
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Oblique view of Left Carotid Angiogram after embolization showing obliteration of aneurysm( small arrow)  and AVM nidus (big arrow)
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Lateral view of Left Carotid Angiogram after embolization showing obliteration of aneurysm ( small arrow) and AVM nidus ( big arrow)

 

 

We acknowledge the help of Dr Uday Limaye, Mumbai  in performing this procedure

 

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