Document Detail


Endovascular treatment of intracranial ruptured aneurysms associated with arteriovenous malformations: a clinical analysis of 14 hemorrhagic cases.
MedLine Citation:
PMID:  21561563     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study investigated and summarized endovascular therapeutic strategies for intracranial ruptured aneurysms associated with arteriovenous malformations (AVMs). Between June 2005 and June 2009, we identified 16 aneurysms in 14 hemorrhagic cases of intracranial AVM using digital subtraction angiography (DSA). Of the 16 aneurysms, 14 were ruptured and two were unruptured. Aneurysms were classified as types I to IV, and were treated. Aneurysm treatment was followed by AVM treatment via various therapies, including embolization, gamma knife radiotherapy, or follow-up and observation to reduce the risk of aneurysm rupture or intracranial hemorrhage. Over a follow-up period ranging from six months to one year, none of the patients had aneurysm ruptures or intracranial hemorrhage. Most (13/14) patients had a Glasgow Outcome Scale (GOS) score of 5, and one patient had a score of 4. Sixteen aneurysms were treated successfully, as confirmed by DSA examination, and no AVMs re-grew. Clinical therapeutic strategies for intracranial ruptured aneurysms associated with AVMs should include aneurysm treatment first to reduce the risk of rupture and intracranial hemorrhage, eventually leading to a better prognosis.
Authors:
J-L Yu; S Yang; Q Luo; H-L Wang; B Wang; Y-Y Qu; K Xu
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Publication Detail:
Type:  Journal Article     Date:  2011-04-29
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  17     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-05-12     Completed Date:  2011-07-12     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  78-86     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, First Hospital of Jilin University, Changchun, Jilin Province, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, Ruptured / radiography,  surgery,  therapy*
Cerebral Angiography
Cerebral Hemorrhage / therapy
Combined Modality Therapy
Embolization, Therapeutic*
Female
Follow-Up Studies
Humans
Intracranial Aneurysm / radiography,  surgery,  therapy*
Intracranial Arteriovenous Malformations / radiography,  surgery,  therapy*
Male
Middle Aged
Radiosurgery
Treatment Outcome
Young Adult
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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