The era of Onyx embolization: A systematic and literature review of preoperative embolization before stereotactic radiosurgery for the management of cerebral arteriovenous malformations. [Review] (Record no. 50)

MARC details
000 -LEADER
fixed length control field 03020nam a22003857a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 221213s20222022 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1878-8750
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.wneu.2022.11.058 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S1878-8750(22)01610-2 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 36396047
245 ## - TITLE STATEMENT
Title The era of Onyx embolization: A systematic and literature review of preoperative embolization before stereotactic radiosurgery for the management of cerebral arteriovenous malformations. [Review]
251 ## - Source
Source World Neurosurgery. 2022 Nov 14
252 ## - Abbreviated Source
Abbreviated source World Neurosurg. 2022 Nov 14
253 ## - Journal Name
Journal name World neurosurgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2022 Nov 14
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2022-12-13
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: Onyx (ethylene vinyl-alcohol (EVOH) copolymer dissolved in dimethyl sulfoxide (DMSO) and suspended in micronized tantalum powder) has been increasingly used for the embolization of intracranial AVMs with increased success regarding its ease of use from a technical standpoint and performs similarly to other embolysate materials. Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract INTRODUCTION: The current treatment paradigm for intracranial arteriovenous malformations (AVMs) focuses on reducing the risk of intracranial hemorrhage using various therapeutic means including embolization, stereotactic radiosurgery (SRS), and microsurgical resection. To improve AVM obliteration rates with SRS, pre-radiosurgical embolization has been trialed in a number of studies to reduce the volume of the AVM nidus prior to radiosurgery. This study aimed to review the efficacy of pre-radiosurgical embolization in the pre-Onyx era compared to the current Onyx era.
520 ## - SUMMARY, ETC.
Abstract METHODS: A systematic review was performed using PubMed to identify studies with 20 or more AVM patients, embolization material, and obliteration rates for both E+SRS (embolization + stereotactic radiosurgery) and SRS only groups.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Seventeen articles consisting of 1133 eligible patients were included in this study. 914 (80.7%) patients underwent embolization prior to SRS. Onyx was used as the embolysate in 340 (37.2%) patients in the E+SRS cohorts. Mean obliteration rate for the embolized cohort was 46.9% versus 46.5% in the SRS only cohort. When comparing obliteration rates based on embolysate material, obliteration rates with Onyx+SRS were 42.1% and 50.0% in the non-Onyx embolysate + SRS cohort.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Neurosurgery
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
657 ## - INDEX TERM--FUNCTION
Medline publication type Review
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Armonda, Rocco A
Institution Code MWHC
790 ## - Authors
All authors Ampie L, Armonda RA, Gupta HR, Kellogg RT, Letchuman V, Mittal AM, Park MS, Raper D, Sheehan JP
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.wneu.2022.11.058">https://dx.doi.org/10.1016/j.wneu.2022.11.058</a>
Public note https://dx.doi.org/10.1016/j.wneu.2022.11.058
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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          MedStar Authors Catalog MedStar Authors Catalog 12/13/2022   36396047 36396047 12/13/2022 12/13/2022 Journal Article

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