ONYX
Report
- Report Number
- 2029214-2021-01473
- Event Type
- Death
- Date Received
- November 15, 2021
- Date of Event
- April 10, 2020
- Report Date
- November 15, 2021
- Manufacturer
- MICRO THERAPEUTICS, INC. DBA EV3
- Product Code
- MFE
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
WINKLER, E. A., LU, A., MORSHED, R. A., YUE, J. K., RUTLEDGE, W. C., BURKHARDT, J.-K., PATEL, A. B., AMMANUEL, S. G., BRAUNSTEIN, S., FOX, C. K., FULLERTON, H. J., KIM, H., COOKE, D., HETTS, S. W., LAWTON, M. T., ABLA, A. A., <(>&<)>AMP; GUPTA, N. (2020). BRINGING HIGH-GRADE ARTERIOVENOUS MALFORMATIONS UNDER CONTROL: CLINICAL OUTCOMES FOLLOWING MULTIMODALITY TREATMENT IN CHILDREN. JOURNAL OF NEUROSURGERY: PEDIATRICS, 26(1), 82¿91. HTTPS://DOI.ORG/10.3171/2020.1.PEDS19487. THIS VALUE IS THE AVERAGE AGE OF THE PATIENTS REPORTED IN THE ARTICLE AS SPECIFIC PATIENTS COULD NOT BE IDENTIFIED. THIS VALUE REFLECTS THE GENDER OF THE MAJORITY OF THE PATIENTS REPORTED IN THE ARTICLE AS SPECIFIC PATIENTS COULD NOT BE IDENTIFIED. PLEASE NOTE THAT THIS DATE IS BASED OFF OF THE DATE OF PUBLICATION OF THE ARTICLE AS THE EVENT DATES WERE NOT PROVIDED IN THE PUBLISHED LITERATURE. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
WINKLER, E. A., LU, A., MORSHED, R. A., YUE, J. K., RUTLEDGE, W. C., BURKHARDT, J.-K., PATEL, A. B., AMMANUEL, S. G., BRAUNSTEIN, S., FOX, C. K., FULLERTON, H. J., KIM, H., COOKE, D., HETTS, S. W., LAWTON, M. T., ABLA, A. A., <(>&<)>AMP; GUPTA, N. (2020). BRINGING HIGH-GRADE ARTERIOVENOUS MALFORMATIONS UNDER CONTROL: CLINICAL OUTCOMES FOLLOWING MULTIMODALITY TREATMENT IN CHILDREN. JOURNAL OF NEUROSURGERY: PEDIATRICS, 26(1), 82¿91. HTTPS://DOI.ORG/10.3171/2020.1.PEDS19487 SUMMARY: BRAIN ARTERIOVENOUS MALFORMATIONS (AVMS) ARE DYSPLASTIC, FRAGILE CLUSTERS OF BLOOD VESSELS FORMED BY ABNORMAL CONNECTIONS BETWEEN ARTERIES AND VEINS LEADING TO VASCULAR SHUNTING, WHICH CAN CAUSE SPONTANEOUS INTRACEREBRAL HEMORRHAGES. AVMS ARE THE LEADING CAUSE OF NONTRAUMATIC INTRACEREBRAL HEMORRHAGE IN CHILDREN AND ACCOUNT FOR 30%¿50% OF ALL SPONTANEOUS HEMORRHAGES.1¿3 BRAIN HEMORRHAGE IS ASSOCIATED WITH A MORTALITY RATE OF 25%,4 AND RECENT STUDIES IN CHILDREN HAVE ESTIMATED THE ANNUAL HEMORRHAGE RATE TO RANGE BETWEEN 0.9% AND 6.3%.1,3 WHEN DIAGNOSED IN CHILDHOOD OR ADOLESCENCE, THE ANNUALIZED HEMORRHAGE RISK OVER A GREATER NUMBER OF EXPECTED YEARS TO LIVE IN COMPARISON WITH ADULTS LEADS TO A HIGH CUMULATIVE LIFETIME HEMORRHAGE RISK. INTERVENTION TO ACHIEVE AVM OBLITERATION IS THEREFORE OFTEN FAVORED TO MITIGATE THE POTENTIAL MORBIDITY OF FUTURE HEMORRHAGE. IDENTIFIED EVENTS: 1. 1 PATIENT DIED DUE TO A DELAYED REHEMORRHAGE WITH A RUPTURED SM GRADE IV AVM IN THE MOTOR STRIP TREATED WITH 2 SESSIONS OF SRS. SEE ATTACHED LITERATURE ARTICLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1711782 | ONYX | AGENT, INJECTABLE, EMBOLIC | MFE | MICRO THERAPEUTICS, INC. DBA EV3 | UNK-NV-ONYX | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 12 YR | Male | Death| R |