P097 Preliminary experience with ihtOBTURA®: a novel non-adhesive liquid embolic agent, with post embolization loss of radiopacity, for the endovascular treatment of brain arteriovenous malformations. claridad study

<h3>Introduction</h3> ihtOBTURA® (IBERHOSPITEX, Llica de Ball, Spain) is a revolutionary non-adhesive liquid embolic agent, composed by EVOH copolymer and an iodinated compound, dissolved in DMSO <h3>Aim of Study</h3> To report a Preliminary Experience with ihtOBTURA®: A Novel Non-Adhesive Liquid Embolic Agent, with post embolization loss of radiopacity, for the Endovascular Treatment of Brain Arteriovenous Malformations <h3>Methods</h3> We performed a prospective longitudinal single center study, from November 10, 2021, to September 10, 2022. 42 consecutive patients with brain AVMs, were treated by endovascular way. A total of 102 endovascular procedures were performed with ihtOBTURA®. There were 23 males and 19 females with a mean age of 37.38 years. The most common clinical presentation was intracranial hemorrhage in 35 (83.33%) patients. According to the Spetzler-Martin scale, 25 (59,52%) AVMs were grades IV; 13 (30,95%) AVMs, grade III; and 4 (9,52) AVMs, grades II <h3>Results</h3> Complete occlusion was achieved in 26/28 patients (93%) during the study interval, and in 61.90% (26/42) in the entire patient cohort. The 14 remaining patients are scheduled for further EVT. Stability of angiographic occlusion was confirmed in all 26 patients by a control angiogram at 6 months. Mean volume reduction was 80,79% per patients. whereas an average of 7.2 mL of ihtOBTURA® was used per patient. Disabling Permanent Neurological Deficits included 1 case of postinterventional hemorrhage and there were 1 procedure-related death. <h3>Conclusion</h3> ihtOBTURA® is a safe and effective new non-adhesive liquid embolic agent, with innovative properties that can improve results on AVMs treatment. <h3>Disclosure of Interest</h3> no.

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Abstracts
Published
2024-09-01
DOI
https://doi.org/10.1136/jnis-2024-esmint.133
Primary Topic
Vascular Malformations Diagnosis and Treatment
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P097 Preliminary experience with ihtOBTURA®: a novel non-adhesive liquid embolic agent, with post embolization loss of radiopacity, for the endovascular treatment of brain arteriovenous malformations. claridad study

Juan Carlos Llibre Guerra
Abstracts
Vascular Malformations Diagnosis and Treatment
article

P097 Preliminary experience with ihtOBTURA®: a novel non-adhesive liquid embolic agent, with post embolization loss of radiopacity, for the endovascular treatment of brain arteriovenous malformations. claridad study

Juan Carlos Llibre Guerra
article en

Abstract

<h3>Introduction</h3> ihtOBTURA® (IBERHOSPITEX, Llica de Ball, Spain) is a revolutionary non-adhesive liquid embolic agent, composed by EVOH copolymer and an iodinated compound, dissolved in DMSO <h3>Aim of Study</h3> To report a Preliminary Experience with ihtOBTURA®: A Novel Non-Adhesive Liquid Embolic Agent, with post embolization loss of radiopacity, for the Endovascular Treatment of Brain Arteriovenous Malformations <h3>Methods</h3> We performed a prospective longitudinal single center study, from November 10, 2021, to September 10, 2022. 42 consecutive patients with brain AVMs, were treated by endovascular way. A total of 102 endovascular procedures were performed with ihtOBTURA®. There were 23 males and 19 females with a mean age of 37.38 years. The most common clinical presentation was intracranial hemorrhage in 35 (83.33%) patients. According to the Spetzler-Martin scale, 25 (59,52%) AVMs were grades IV; 13 (30,95%) AVMs, grade III; and 4 (9,52) AVMs, grades II <h3>Results</h3> Complete occlusion was achieved in 26/28 patients (93%) during the study interval, and in 61.90% (26/42) in the entire patient cohort. The 14 remaining patients are scheduled for further EVT. Stability of angiographic occlusion was confirmed in all 26 patients by a control angiogram at 6 months. Mean volume reduction was 80,79% per patients. whereas an average of 7.2 mL of ihtOBTURA® was used per patient. Disabling Permanent Neurological Deficits included 1 case of postinterventional hemorrhage and there were 1 procedure-related death. <h3>Conclusion</h3> ihtOBTURA® is a safe and effective new non-adhesive liquid embolic agent, with innovative properties that can improve results on AVMs treatment. <h3>Disclosure of Interest</h3> no.

Abstracts
Instituto de Neurologia Y Neurocirugia (CU)
Good health and well-being
Openalex Percentile: Top 77%
Vascular Malformations Diagnosis and Treatment
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