Deep central arteriovenous malformations of the brain: the role of endovascular treatment.
Deep central arteriovenous malformations of the brain: the role of endovascular treatment.
复制标题
脑深部中央动静脉畸形：血管内治疗的作用。
作者：
R. Hurst;A. Berenstein;M. Kupersmith;M. Madrid;E. Flamm
脑深部中央动静脉畸形（AVM）是一种罕见的病变，治疗相当困难。作者报告了一系列14例采用血管内方法治疗的深部中央AVM，并检查了血管内治疗的当前作用。单独使用这种治疗可使大约15%的病例的AVM完全闭塞，并使50%的病例缩小至允许通过放射外科治疗的尺寸。35.7%的栓塞患者出现既往神经系统体征和症状复发。总体而言，近80%的患者病变完全闭塞，缩小到允许放射外科治疗的大小，或逆转了既往的神经功能缺损。14.3%的病例出现治疗并发症。血管内治疗方法可能对病程特别差且难以通过其他方式治疗的AVM的治疗做出重大贡献。
Cerebral deep central arteriovenous malformations (AVMs) are uncommon lesions associated with considerable difficulty in treatment. The authors report a series of 14 deep central AVMs treated by endovascular methods and examine the present role of endovascular treatment. This treatment used alone resulted in complete obliteration of AVMs in approximately 15% of case and reduction in 50% to a size permitting treatment by means of radiosurgery. Reversal of previous neurological signs and symptoms occurred in 35.7% of embolized patients. Overall, nearly 80% of patients had either complete obliteration of the lesion, reduction to a size allowing radiosurgical treatment, or reversal of previous neurological deficits. There were treatment complications in 14.3% of the cases. Endovascular treatment methods may make a significant contribution to the therapy of AVMs that have a particularly poor course and are difficult to treat by other means.
显微手术治疗直径小于3厘米的颅内动静脉畸形67例。
影响因子：
4.1
作者：
Sisti,MB;Kader,A;Stein,BM
通讯作者：
Stein,BM
影响因子：
14.5
作者：
GRAFFRADFORD, NR;DAMASIO, H;DAMASIO, AR
通讯作者：
DAMASIO, AR