title: Balloon augmented Onyx embolization utilizing a dual lumen balloon catheter: utility in the treatment of a variety of head and neck lesions.
abstract: BACKGROUND
  Endovascular embolization for tumors and vascular malformations has emerged as an important preoperative adjunct prior to resection. We describe the advantages of utilizing a recently released dual lumen balloon catheter for ethylene vinyl alcohol copolymer, also known as Onyx (ev3, Irvine, California, USA), embolization for a variety of head and neck pathologies.
  
  
  METHODS
  A retrospective review of all cases utilizing the Scepter C balloon catheter (MicroVention Inc, Tustin, California, USA) for use in balloon augmented embolization was performed over a 4 month period from October 2012 to February 2013 at the Medical University of South Carolina, Charleston, South Carolina, USA. Charts and angiographic images were reviewed. Representative cases involving diverse pathologies are summarized and illustrate the observed advantages of balloon augmented Onyx embolization with a dual lumen balloon catheter.
  Balloon augmented Onyx embolization utilizing a novel dual lumen balloon catheter was employed to treat both ruptured and unruptured arteriovenous malformations, intracranial dural arteriovenous fistulae, intracranial neoplasms, carotid body tumors, a thyroid mass, and an extracranial arteriovenous fistula.
  
  
  CONCLUSIONS
  The dual lumen balloon catheter has several advantages for use with Onyx embolization over older devices, including more efficient proximal plug formation and enhanced navigability for placement deep within the pedicles. The balloon augmented Onyx embolization technique represents a valuable tool to add to the armamentarium of the neurointerventionalist to address a variety of head and neck lesions.
authors.affiliation: Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina, USA.
authors.forename: Alejandro M
authors.initials: AM
authors.lastname: Spiotta
authors.affiliation: Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina, USA.
authors.forename: Amrendra S
authors.initials: AS
authors.lastname: Miranpuri
authors.affiliation: Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina, USA.
authors.forename: Jan
authors.initials: J
authors.lastname: Vargas
authors.affiliation: Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina, USA.
authors.forename: Jordan
authors.initials: J
authors.lastname: Magarick
authors.affiliation: Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina, USA.
authors.forename: Raymond D
authors.initials: RD
authors.lastname: Turner
authors.affiliation: Department of Radiology, Medical University of South Carolina, Charleston, South Carolina, USA.
authors.forename: Aquilla S
authors.initials: AS
authors.lastname: Turk
authors.affiliation: Department of Radiology, Medical University of South Carolina, Charleston, South Carolina, USA.
authors.forename: M Imran
authors.initials: MI
authors.lastname: Chaudry
mesh_terms: D001164:Arteriovenous Fistula / Q000628:therapy; D063125:Balloon Embolectomy / Q000379:methods*; D020785:Central Nervous System Vascular Malformations / Q000628:therapy*; D002530:Cerebellopontine Angle; D004338:Drug Combinations; D004388:Dura Mater; D004621:Embolization, Therapeutic / Q000379:methods*; D006257:Head; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck; D011145:Polyvinyls; D012189:Retrospective Studies; D013635:Tantalum; D055815:Young Adult
chemical_list: D004338:Drug Combinations; C558446:Onyx 18; D011145:Polyvinyls; D013635:Tantalum
keywords: Balloon