Outcome analysis of preoperative embolization with N-butyl cyanoacrylate in cerebral arteriovenous malformations.
AJNR Am J Neuroradiol
; 16(9): 1801-7, 1995 Oct.
Article
en En
| MEDLINE
| ID: mdl-8693978
ABSTRACT
PURPOSE:
To determine the influence of preoperative N-butyl cyanoacrylate embolization on outcome in the treatment of cerebral arteriovenous malformations.METHODS:
Two groups were compared 30 patients who underwent surgery and embolization versus 41 patients who underwent surgery only. Both groups were categorized by Spetzler-Martin grade and evaluated with the Glasgow Outcome Scale at various intervals. The long-term follow-up in months was, for surgery only, mean of 35 and range of 4 to 59, and for surgery and embolization, mean of 10 and range of 1 to 19).RESULTS:
The arteriovenous malformations in the surgery and embolization group had a larger average greatest diameter (4.2 +/- 1.5 cm versus 3.4 +/- 1.8 cm) and were of higher Spetzler-Martin grade (89% versus 68% grade III-V). No significant difference in the preoperative or immediate postoperative (less than 24 hours) Glasgow Outcome Scale was identified between the two groups. At I week after surgery, the surgery and embolization group displayed a significantly better outcome evaluation (70% versus 41% with Glasgow Outcome Scale score of 5). The long-term evaluation continued to favor the surgery and embolization patients (86% versus 66% with Glasgow Outcome Scale score of 5).CONCLUSION:
Preoperative N-butyl cyanoacrylate embolization improves postsurgical outcome.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Cuidados Preoperatorios
/
Malformaciones Arteriovenosas Intracraneales
/
Embolización Terapéutica
/
Enbucrilato
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Adult
/
Humans
Idioma:
En
Revista:
AJNR Am J Neuroradiol
Año:
1995
Tipo del documento:
Article
País de afiliación:
Estados Unidos