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Complications of preoperative embolization of cerebral arteriovenous malformations.
- Source :
-
Journal of neurosurgery [J Neurosurg] 2004 May; Vol. 100 (5), pp. 810-2. - Publication Year :
- 2004
-
Abstract
- Object: Preoperative embolization is viewed by the authors as a useful adjunct in the surgical management of cerebral arteriovenous malformations (AVMs). This study was performed to determine the rate of significant complication in patients undergoing this procedure.<br />Methods: Demographic, anatomical, and procedure data were collected prospectively. The treating physician reported complications. In addition, a review of medical records including procedure reports, operative reports, and discharge summaries was performed. Univariate statistical analysis was performed to determine if any of the variables was predictive of a poor outcome of embolization (death or permanent neurological deficit). Endovascular procedures for embolization were performed 339 times in 201 patients during an 11-year period. Female patients comprised 53.7% of the study group and 85.6% of the AVMs were supratentorial. Embolization was performed using polyvinyl alcohol particles, N-butyl cyanoacrylate, detachable coils, and/or the liquid polymer Onyx. Analyzed by procedure, a poor result of embolization occurred in 7.7%. Analyzed by patient, 11% died or had a permanent neurological deficit as a result of the embolization. None of the demographic, anatomical, or procedure variables identified were predictive of a poor outcome.<br />Conclusions: Preoperative embolization may gradually reduce flow to an AVM, reduce intraoperative blood loss, and reduce operative time. The risks of this procedure, however, are not insignificant and must be considered in planning treatment for patients with AVMs.
- Subjects :
- Adolescent
Adult
Aged
Brain Damage, Chronic mortality
Cause of Death
Child
Child, Preschool
Combined Modality Therapy mortality
Female
Hospital Mortality
Humans
Infant
Intracranial Arteriovenous Malformations mortality
Male
Middle Aged
Neurologic Examination
Outcome Assessment, Health Care
Prospective Studies
Retrospective Studies
Risk Factors
Survival Rate
Texas
Embolization, Therapeutic adverse effects
Intracranial Arteriovenous Malformations surgery
Postoperative Complications mortality
Preoperative Care
Subjects
Details
- Language :
- English
- ISSN :
- 0022-3085
- Volume :
- 100
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 15137598
- Full Text :
- https://doi.org/10.3171/jns.2004.100.5.0810