持续性动脉静脉并没有观察到在部分栓塞后转换为更高等级的动脉静脉
Erin Walker1,2, Anja Srienc2, Daphne Lew3
11University of South Carolina School of Medicine, Greenville, South Carolina.
Neurosurgical focus
|March 1, 2024
概括
波登-舒卡特I型持续性动脉静脉 (dAVFs) 的部分内血管治疗不会显著增加转换到更高等级的风险. 完整治疗没有显示dAVF转化,这表明其在预防进展方面的有效性.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
- 血管神经学 血管神经学
背景情况:
- 波登-舒卡特I型硬性动脉静脉 (dAVFs) 的特点是皮层静脉排水的缺失.
- 这些低度的dAVF可能需要根据症状严重程度进行干预.
- 影响低等级dAVF稀有转化为更高等级的因素尚不清楚.
研究的目的:
- 调查I型dAVF的部分处理是否是转换到更高等级的独立风险因素.
- 分析I型dAVFs不同治疗策略的结果.
主要方法:
- 通过使用多中心协会长期动脉静脉结结果研究数据库的数据进行了回顾性分析.
- 鉴定I型dAVF患者并根据接受的治疗进行分类:部分内血管治疗,完全内血管治疗或不接受治疗.
主要成果:
- 在358名I型dAVF患者中,2.2% (2/91) 接受部分内血管治疗,转换为更高等级.
- 在未接受治疗的患者中,1.5% (2/131) 患者经历了转化,而接受完整内血管治疗的患者中,0% (0/115) 患者转化.
- 转换后的dAVF主要涉及横向-标质鼻,并且经过了栓塞.
结论:
- I型dAVF的部分内血管治疗似乎与转换到更高等级的风险增加没有显著关联.
- 完整的内血管治疗显示了0%的转化率,这表明它可能有效地预防dAVF进展.
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