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Neurosurgical focus · 2024

Dural arteriovenous fistulas are not observed to convert to a higher grade after partial embolization.

Многоцентровое исследованиеСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Walker Erin, Srienc Anja, Lew Daphne, Guniganti Ridhima, Lanzino Giuseppe, Brinjikji Waleed, Hayakawa Minako, Samaniego Edgar A, Derdeyn Colin P, Du Rose, Lai Rosalind, Sheehan Jason P, Starke Robert M, Abla Adib, Abdelsalam Ahmed, Gross Bradley, Albuquerque Felipe, Lawton Michael T, Kim Louis J, Levitt Michael, Amin-Hanjani Sepideh, Alaraj Ali, Winkler Ethan, Fox W Christopher, Polifka Adam, Hall Samuel, Bulters Diederik, Durnford Andrew, Satomi Junichiro, Tada Yoshiteru, van Dijk J Marc C, Potgieser Adriaan R E, Chen Ching-Jen, Becerril-Gaitan Andrea, Osbun Joshua W, Zipfel Gregory J

Аннотация

OBJECTIVE: Borden-Shucart type I dural arteriovenous fistulas (dAVFs) lack cortical venous drainage and occasionally necessitate intervention depending on patient symptoms. Conversion is the rare transformation of a low-grade dAVF to a higher grade. Factors associated with increased risk of dAVF conversion to a higher grade are poorly understood. The authors hypothesized that partial treatment of type I dAVFs is an independent risk factor for conversion.

METHODS: The multicenter Consortium for Dural Arteriovenous Fistula Outcomes Research database was used to perform a retrospective analysis of all patients with type I dAVFs.

RESULTS: Three hundred fifty-eight (33.2%) of 1077 patients had type I dAVFs. Of those 358 patients, 206 received endovascular treatment and 131 were not treated. Two (2.2%) of 91 patients receiving partial endovascular treatment for a low-grade dAVF experienced conversion to a higher grade, 2 (1.5%) of 131 who were not treated experienced conversion, and none (0%) of 115 patients who received complete endovascular treatment experienced dAVF conversion. The majority of converted dAVFs localized to the transverse-sigmoid sinus and all received embolization as part of their treatment.

CONCLUSIONS: Partial treatment of type I dAVFs does not appear to be significantly associated with conversion to a higher grade.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты