Endovascular treatment of head and neck arteriovenous malformations: long-term angiographic and quality of life results.
J Neurointerv Surg
; 9(9): 860-866, 2017 Sep.
Article
em En
| MEDLINE
| ID: mdl-27566490
ABSTRACT
AIM:
To present the long-term angiographic and subjective results of patients with head and neck arteriovenous malformations (HNAVMs) after endovascular treatment.METHODS:
We retrospectively analyzed the medical files of 14 patients with HNAVM who were treated between 2000 and 2014. The treatment of choice was a transarterial superselective microcatheter-based approach followed by embolization using liquid embolic agents. The patients were asked to answer a quality of life questionnaire about the following symptoms before and after treatment pain, functional impairment, cosmetic deformity, impairment in daily life, and bleeding.RESULTS:
Complete or >90% closure of the AVM was achieved in 6 of 14 patients (43%). >50% shunt reduction was achieved in 10 patients (71%). Three complications were encountered in a total of 86 interventional procedures. Six patients presented with bleeding which was cured in all cases (100%). Four of the 14 patients (29%) specified pain which was resolved in two of them. Another six patients (43%) presented with functional impairment; four were cured and two noted an improvement. All 14 patients presented with cosmetic concerns; four were cured and eight experienced a clearly visible improvement. Nine of 13 patients (69%) presented with impairment in daily life which was resolved in five patients and four reported an improvement.CONCLUSIONS:
Endovascular embolization is a well-tolerated therapy for HNAVM with a low complication rate. Good angiographic results, positive subjective results, and improvement in different aspects of quality of life can be achieved.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
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Angiografia Cerebral
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Malformações Arteriovenosas Intracranianas
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Fístula Arteriovenosa
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Procedimentos Endovasculares
Tipo de estudo:
Observational_studies
Limite:
Adult
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Aged
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Female
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Humans
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Infant
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article