Endovascular treatment of cerebellar arteriovenous malformations: management of associated aneurysms first or later
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- 作者：Guohui Zhu ; Xifeng Li ; Xuying He ; Xin Zhang ; Wei Li ; Lingfeng Lai…
- 关键词：Arteriovenous malformations ; Cerebellum ; Hemorrhage ; Aneurysms ; Hemodynamics
- 刊名：Neurological Sciences
- 出版年：2016
- 出版时间：January 2016
- 年：2016
- 卷：37
- 期：1
- 页码：67-72
- 全文大小：536 KB
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Xifeng Li (1)
Xuying He (1)
Xin Zhang (1)
Wei Li (1)
Lingfeng Lai (1)
Min Chen (1)
Hui Li (1)
Chuanzhi Duan (1)
1. Department of Neurosurgery, Zhujiang Hospital, Southern Medical University, No. 253, Industrial Avenue, Haizhu District, Guangzhou, 510280, Guangdong, China - 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Neurology
Neuroradiology
Neurosurgery
Psychiatry - 出版者：Springer Milan
- ISSN：1590-3478
文摘
The purpose of this study was to determine the safety and effectiveness of cerebellar arteriovenous malformations (AVMs) embolization and find out the suitable methods to manage associated aneurysms. Medical records of all patients between 1997 and 2014 with a diagnosis of cerebellar AVMs were retrospectively reviewed. Univariable and multivariable logistic analysis were used to assess AVMs characteristics to calculate for the risk of hemorrhage. Endovascular treatment was the main treatment measure to manage the AVMs and associated aneurysms. Of 142 patients, 115 (81.0 %) presented with hemorrhage and 42 (29.6 %) with associated aneurysms. A significant association with cerebellar AVMs hemorrhage was found for small size, prenidal aneurysms, and deep venous drainage in the univariable and multivariable analysis. Associated aneurysms were treated firstly in 41 patients except for 1 patient with 2 prenidal and 2 intranidal aneurysms. The special case was dealt with AVMs and 2 intranidal aneurysms first and angiography showed that the 2 prenidal associated aneurysms disappeared with time. Hemorrhage appeared in 13/142 patients (9.2 %) during the follow-up period, none of which was with associated aneurysms. Endovascular treatment can be a feasible way for treating cerebellar AVMs. Intranidal associated aneurysms should be treated first. Prenidal associated aneurysms can be treated later depending on the angioarchitecture of AVMs.