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Endovascular treatment as the first-line approach for cure of low-grade brain arteriovenous malformation.
Razavi, Seyed Ali Shariat; Mirbolouk, Mohammad Hossein; Gorji, Reza; Ebrahimnia, Feizollah; Sasannejad, Payam; Zabihyan, Samira; Seraj, Farid Qoorchi Moheb; Etemadrezaie, Hamid; Esmaeilzadeh, Mahla; Blanc, Raphaël; Piotin, Michel; Baharvahdat, Humain.
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  • Razavi SAS; 1Section of Neurovascular Intervention, Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; and.
  • Mirbolouk MH; 1Section of Neurovascular Intervention, Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; and.
  • Gorji R; 1Section of Neurovascular Intervention, Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; and.
  • Ebrahimnia F; 1Section of Neurovascular Intervention, Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; and.
  • Sasannejad P; 1Section of Neurovascular Intervention, Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; and.
  • Zabihyan S; 1Section of Neurovascular Intervention, Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; and.
  • Seraj FQM; 1Section of Neurovascular Intervention, Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; and.
  • Etemadrezaie H; 1Section of Neurovascular Intervention, Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; and.
  • Esmaeilzadeh M; 1Section of Neurovascular Intervention, Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; and.
  • Blanc R; 2Department of Interventional Neuroradiology, Rothschild Foundation Hospital, Paris, France.
  • Piotin M; 2Department of Interventional Neuroradiology, Rothschild Foundation Hospital, Paris, France.
  • Baharvahdat H; 1Section of Neurovascular Intervention, Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; and.
Neurosurg Focus ; 53(1): E8, 2022 07.
Article en En | MEDLINE | ID: mdl-35901720
OBJECTIVE: While microsurgery has been proposed as the first-line treatment for patients with low-grade (Spetzler-Martin grade I or II) brain arteriovenous malformations (bAVMs), recent studies have shown promising results for endovascular treatment (EVT) as a single proper choice for the management of this group of bAVMs. In this study, the authors evaluated the safety and efficacy of EVT as a first-line strategy for curing low-grade bAVMs at their center. METHODS: All patients with low-grade bAVMs managed primarily by EVT between 2015 and 2021 were enrolled in this study. Patients were evaluated and treated by the same team and followed with the same protocol. The primary endpoint was the efficacy of EVT on the cure of low-grade bAVMs. The second endpoint was the safety of EVT for the treatment of low-grade bAVMs, including procedural complications and long-term clinical outcomes. RESULTS: A total of 109 patients were enrolled and represented in the study population. The mean patient age was 31.6 ± 14.8 years. Forty-eight AVMs (44%) were Spetzler-Martin grade I and 61 (56%) were grade II. Of 99 patients who completed their EVT sessions, complete exclusion was achieved in 89 patients (89.9%). Overall, complete exclusion was achieved in 59.6% of patients after a single EVT session. At the 6-month follow-up, 106 patients (97.2%) had a favorable outcome. Four patients (4.6%) experienced transient neurological deficits, and 1 patient (0.9%) had a permanent neurological deficit. CONCLUSIONS: EVT can be offered as the first choice of treatment for select patients with low-grade bAVMs, with a high cure rate and low morbidity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Malformaciones Arteriovenosas Intracraneales / Embolización Terapéutica Tipo de estudio: Guideline / Observational_studies Límite: Adolescent / Adult / Humans / Middle aged Idioma: En Revista: Neurosurg Focus Asunto de la revista: NEUROCIRURGIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Malformaciones Arteriovenosas Intracraneales / Embolización Terapéutica Tipo de estudio: Guideline / Observational_studies Límite: Adolescent / Adult / Humans / Middle aged Idioma: En Revista: Neurosurg Focus Asunto de la revista: NEUROCIRURGIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos