دورية أكاديمية
Endovascular treatment of anterior cranial base dural arteriovenous fistulas as a first-line approach: a multicenter study
| العنوان: | Endovascular treatment of anterior cranial base dural arteriovenous fistulas as a first-line approach: a multicenter study |
|---|---|
| المؤلفون: | Trivelato, Felipe, Smajda, Stanislas, Saleme, Suzana, Castro-Afonso, Luís Henrique De, Abud, Thiago, Ulhôa, Alexandre, Blanc, Raphael, Abud, Daniel, Mounayer, Charbel, Piotin, Michel, Rezende, Marco Túlio S. |
| المساهمون: | Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild AP-HP, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), CHU Limoges, Fondation Ophtalmologique Adolphe de Rothschild Paris, XLIM (XLIM), Université de Limoges (UNILIM)-Centre National de la Recherche Scientifique (CNRS) |
| المصدر: | ISSN: 0022-3085 ; Journal of Neurosurgery ; https://hal.science/hal-04504233Test ; Journal of Neurosurgery, 2022, 137 (6), pp.1758-1765. ⟨10.3171/2022.2.JNS212588⟩. |
| بيانات النشر: | HAL CCSD American Association of Neurological Surgeons |
| سنة النشر: | 2022 |
| المجموعة: | Université de Limoges: HAL |
| مصطلحات موضوعية: | [SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology |
| الوصف: | International audience ; OBJECTIVE Anterior cranial fossa dural arteriovenous fistulas (DAVFs) have been almost exclusively considered as surgical lesions. However, new advances in endovascular technology have made the endovascular treatment (EVT) of ethmoidal DAVFs feasible. The aim of this study was to report the clinical and angiographic outcomes of patients harboring DAVFs of the anterior cranial fossa who had undergone EVT as a first-line approach. METHODS This was a retrospective study of a consecutive series of patients harboring anterior cranial base DAVFs who had undergone EVT as a first-line approach at four institutions. Angiographic follow-up was performed at 6 months. Immediate and late serious clinical events were assessed during follow-up, including death and stroke. Special emphasis was given to visual status before and after the treatment. RESULTS Between 2008 and 2020, 37 patients with ethmoidal DAVFs were admitted to the participating centers. In 2 patients, EVT was not attempted; therefore, 35 patients underwent EVT as a first-line procedure. An isolated transarterial approach was performed in 19 (54.3%) patients. The transvenous approach was performed exclusively in 12 (34.3%) patients, and combined access was used in 4 (11.4%) patients. The most frequently used arterial access route was the ophthalmic artery in 82.6% of the patients. Immediately, complete angiographic occlusion was achieved in 31 (91.2%) of 34 patients whose treatment was accomplished. Six-month control angiography revealed that 30 (88.2%) DAVFs were totally occluded. Complications occurred in 3 (8.8%) patients, including 1 (2.9%) patient who had central retinal artery occlusion. No significant difference in complications or occlusion rates was noted between the transarterial and transvenous approaches. CONCLUSIONS Most anterior cranial base DAVFs can be successfully treated via an endovascular approach. Neurological and visual complications are rare, even if the ophthalmic artery is used as the primary access route. ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | hal-04504233; https://hal.science/hal-04504233Test |
| DOI: | 10.3171/2022.2.JNS212588 |
| الإتاحة: | https://doi.org/10.3171/2022.2.JNS212588Test https://hal.science/hal-04504233Test |
| رقم الانضمام: | edsbas.2227F808 |
| قاعدة البيانات: | BASE |
| DOI: | 10.3171/2022.2.JNS212588 |
|---|