Endovascular treatment of small cerebral arteriovenous malformations as a primary therapy

2018
journal article
article
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cris.lastimport.scopus2024-04-07T15:07:25Z
cris.lastimport.wos2024-04-10T00:42:12Z
dc.abstract.enPurpose: The patient population that would benefit most from endovascular curative treatment of intracranial arteriovenous malformations has not been clearly established. The aim of the study was to determine the effect of curative embolisation of cerebral arteriovenous malformations with special regard to radiographic and clinical outcomes and procedure-related complications. Material and methods: Between January 2009 and December 2014, 18 patients with intracranial arteriovenous malformations were embolised with Onyx with intent to cure. There were four women and 14 men, with a mean age of 40 years (range 10-62 years). Inclusion criteria were: maximal diameter of the lesions ≤ 3 cm and arterial supply consisting of no more than two major arteries. Five (27.8%) patients had ruptured lesions, and 13 (72.2%) patients had unruptured lesions. Mean arteriovenous malformation size was 2.3 cm (range 1.5-2.9 cm). Results: Thirty-three procedures were performed in 18 patients. Total obliteration was achieved in five patients (27.8%). The most common reason for initial incomplete angiographic occlusion was unfavourable angioarchitectural features of arteriovenous malformations, with the rate of 44.4%. The mean follow-up of patients with complete occlusion was 35.2 months (range 18-60 months). Complication rate was 12.1%. One patient had permanent neurological deficit with resulting morbidity of 5.6%. There were no deaths. Conclusions: Embolisation of intracranial arteriovenous malformations plays a limited role as a sole therapeutic modality even in terms of small lesions with two or fewer arterial feeders, although larger prospective series are necessary to confirm these findings. Associated complications are not trivial and should be considered when choosing this form of treatment.pl
dc.contributor.authorKocur, Damianpl
dc.contributor.authorPrzybyłko, Nikodempl
dc.contributor.authorHofman, Mariuszpl
dc.contributor.authorJamróz, Tomaszpl
dc.contributor.authorIgnatowicz, Aleksandrapl
dc.contributor.authorBaron, Janpl
dc.contributor.authorKwiek, Stanisławpl
dc.date.accessioned2018-05-08T09:30:37Z
dc.date.available2018-05-08T09:30:37Z
dc.date.issued2018pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. e149-e150pl
dc.description.physicale143-e150pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume83pl
dc.identifier.doi10.5114/pjr.2018.75621pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/54154
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.enendovascular treatmentpl
dc.subject.encerebral arteriovenous malformationspl
dc.subject.enembolizationpl
dc.subtypeArticlepl
dc.titleEndovascular treatment of small cerebral arteriovenous malformations as a primary therapypl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
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