23| Volume 50, SUPPLEMENT 1, S9-S10, June 2012

Successes and pitfalls: a 5-year experience of Onyx® in the management of high-flow vascular malformations

      Introduction: Conventional management of high-flow vascular malformations involves embolisation of feeding vessels with occluding materials, including coils, microspheres or gelatin sponges. Frequently lesions develop a new blood supply via collaterals necessitating further treatment by surgical excision. More recently, it has been recognised that filing and obliterating the nidus of the lesion results in far lower risk of developing collaterals and, consequently a reduced requirement for surgical excision
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