Efficacy and safety of embolization for arteriovenous malformations of the basal ganglia and thalamus via the transarterial approach.
Efficacy and safety of embolization for arteriovenous malformations of the basal ganglia and thalamus via the transarterial approach.
复制标题
DOI：
10.21037/atm-22-384
复制
发表时间：
2022-03
影响因子：
--
通讯作者：
Li, Mingchang
中科院分区：
文献类型：
--
作者：
Zhang, Wei;Wei, Heng;Tian, Qi;Han, Shoumeng;Han, Wenrui;Guo, Yujia;Wang, Guijun;Zhang, Shenqi;Deng, Gang;Wang, Junming;Chen, Qianxue;Li, Mingchang
评价经动脉栓塞治疗基底节区和丘脑脑动静脉畸形的有效性和安全性。回顾性分析本中心（2012年12月至2019年1月）22例经动脉栓塞治疗的基底神经节和丘脑局部脑脊髓炎患者的临床资料。根据解剖结构，经动脉入路用Onyx或Glubran栓塞。根据供血动脉的长度使用可拆卸或不可拆卸的微导管。对这些患者的资料进行回顾性分析。22例患者中9例位于基底神经节，13例位于丘脑。20例（90.9%）出现出血，2例（9.1%）无症状。按照Spetzler-Martin分级法，3级13例（59.1%），4级7例（31.8%），5级2例（9.1%）。手术相关并发症仅发生1例（4.5%）。没有发生与该行动有关的死亡事件。所有患者均达到解剖稳定，随访中未见出血。选择性栓塞经动脉入路对起源于基底神经节和丘脑的脑脊髓炎是安全有效的。我们的研究结果表明，在血管内治疗源于基底节区和丘脑的脑损伤时，并发症发生率低，解剖破坏程度高。
To evaluate the effectiveness and safety profile of transarterial embolization in the treatment of brain arteriovenous malformations (bAVMs) within the basal ganglia and thalamus. A retrospective clinical study was performed on 22 patients with bAVMs localized within the basal ganglia and thalamus who were treated with transarterial embolization (December 2012 and January 2019) in our center. The bAVMs were embolized via the transarterial approach with Onyx or Glubran according to the anatomical structure. A detachable or undetachable microcatheter was used in the procedure according to the length of the feeding artery. The data of these patients were retrospectively analyzed. Among the 22 patients, 9 bAVMs were located in the basal ganglia and 13 were located in the thalamus. Twenty patients presented with hemorrhage (90.9%), leaving 2 patients (9.1%) who had no symptoms. According to the Spetzler-Martin grading classification, 13 bAVMs (59.1%) were grade 3, 7 (31.8%) were grade 4, and 2 (9.1%) were grade 5. Procedure-related complications occurred in only 1 patient (4.5%). No deaths related to the operation occurred. All patients achieved anatomic stabilization and no bleeding was observed in the follow-up. Selective embolization via the transarterial approach is safe and effective for bAVMs originating within the basal ganglia and thalamus. Our results demonstrate a low rate of complications and an elevated degree of anatomical disruption in the endovascular treatment of bAVMs stemming from the basal ganglia and thalamus.
登录
查看更多内容
影响因子：
5.6
作者：
Schimmel K;Ali MK;Tan SY;Teng J;Do HM;Steinberg GK;Stevenson DA;Spiekerkoetter E
通讯作者：
Spiekerkoetter E
影响因子：
4.1
作者：
Kano, Hideyuki;Kondziolka, Douglas;Lunsford, L. Dade
通讯作者：
Lunsford, L. Dade
影响因子：
4.8
作者：
Sheen, Jae Jon;Jiang, Yuan Yuan;Lee, Deok Hee
通讯作者：
Lee, Deok Hee
影响因子：
4.1
作者：
Madhugiri, Venkatesh S.;Teo, Mario K. C.;Steinberg, Gary K.
通讯作者：
Steinberg, Gary K.
影响因子：
4.1
作者：
Schramm, Johannes;Schaller, Karl;Bostrom, Azize
通讯作者：
Bostrom, Azize