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Dural Arteriovenous Fistulas With or Without Cerebral Venous Thrombosis: A Cross-Sectional Analysis of 511 Patients

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资源类型：
WOS体系：
Pubmed体系：

收录情况： ◇ SCIE

作者：
Wan Shuling[1,2] * ; Han Guangyu[1,2] ; Huang Xiangqian[1,2] ; Guo Yibing[1,2] ; Chen Jian[3] ; Zhou Da[1,2] ; Wu Chuanjie[1,2] ; Ji Xunming[1,2,3] ; Ding Yuchuan[4,5] ; Meng Ran[1,2,4,*1] ;
机构： [1]Department of Neurology, National Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University, Beijing, China. [2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China. [3]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China. [4]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China. [5]Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan, USA.
出处：
DOI： 10.1227/neu.0000000000002748
ISSN：

关键词： Dural arteriovenous fistula Cerebral venous thrombosis Bidirectional association Risk factor

摘要：
Recent studies suggest a bidirectional relationship of dural arteriovenous fistula (DAVF) with cerebral venous thrombosis (CVT). We aimed to compare the characteristics of patients with DAVF with or without CVT and to analyze the risk factors for the coexistence of CVT in a DAVF population.A total of 511 adult patients with DAVF were enrolled consecutively in our hospital from February 2019 through November 2022. Demographic data, clinical manifestations, and imaging characteristics were reviewed in detail. The patients with DAVF were divided into two groups: DAVF with CVT (DAVF-CVT) group and without CVT (DAVF alone) group. Univariate logistic regression and multivariate logistic regression were used to analyze the risk factors for the coexistence of CVT and DAVF.CVT was found in 19.8% of patients with DAVF. In univariate analysis, compared with the DAVF-alone group, the DAVF-CVT group was more likely to have tinnitus (P = .001), blurred vision (P < .001), visual field loss (P = .001), focal neurological deficits (P = .002), seizures (P = .008), and cognitive impairment (P = .046) and less likely to have spinal cord/brain stem dysfunction (P = .004). In addition, there were significant differences in age (P = .009), sex (P = .019), the occurrence of venous cerebral infarction (P = .001), and DAVF location (P < .001) between the two groups. Furthermore, multivariate analysis showed that blurred vision, venous cerebral infarction, large sinus DAVF, and multiple DAVF were risk factors for the coexistence of CVT in patients with DAVF, with the odds ratio of 2.416 (95% CI 1.267-4.606, P = .007), 6.018 (95% CI 1.289-28.100, P = .022), 5.801 (95% CI 2.494-13.496, P < .001), and 5.640 (95% CI 2.122-14.989, P = .001), respectively.CVT occurred in approximately one fifth of patients with DAVF. Blurred vision, venous cerebral infarction, large sinus DAVF, and multiple DAVF may be the risk factors for predicting the coexistence of CVT in patients with DAVF.Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Congress of Neurological Surgeons.

基金：
This study received funding from the Beijing Natural Science Foundation (7212047) and the National Natural Science Foundation Grants (82171297)
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2023]版：
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 外科
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 外科
JCR分区：
出版当年[2022]版：
Q1 CLINICAL NEUROLOGY Q1 SURGERY
最新[2023]版：
Q1 CLINICAL NEUROLOGY Q1 SURGERY

影响因子： 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者：
第一作者机构： [1]Department of Neurology, National Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University, Beijing, China. [2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China.
通讯作者：
通讯机构： [1]Department of Neurology, National Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University, Beijing, China. [2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China. [4]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China. [*1]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
推荐引用方式(GB/T 7714)：
Wan Shuling,Han Guangyu,Huang Xiangqian,et al.Dural Arteriovenous Fistulas With or Without Cerebral Venous Thrombosis: A Cross-Sectional Analysis of 511 Patients[J].NEUROSURGERY.2024,94(4):771-779.doi:10.1227/neu.0000000000002748.
APA：
Wan Shuling,Han Guangyu,Huang Xiangqian,Guo Yibing,Chen Jian...&Meng Ran.(2024).Dural Arteriovenous Fistulas With or Without Cerebral Venous Thrombosis: A Cross-Sectional Analysis of 511 Patients.NEUROSURGERY,94,(4)
MLA：
Wan Shuling,et al."Dural Arteriovenous Fistulas With or Without Cerebral Venous Thrombosis: A Cross-Sectional Analysis of 511 Patients".NEUROSURGERY 94..4(2024):771-779

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