Objective: To estimate for hemorrhage risk of partially endovascularly embolized brain arteriovenous malformation (BAVM). Methods: We retrospectively reviewed 147 consecutive patients with BAVM-treated mainly with endovascular N-butyl cyanoacrylate (NBCA) and ONYX embolization. In Kaplan-Meier survival analysis, the index date was the dated of initial endovascular embolization; cases were censored at time of subsequent intracranial hemorrhage (ICH), or loss to follow-up, and multivariate proportional-hazards regression models included age of presentation (<= 30 years old), clinical presentations, and other potential confounders. Results: We reviewed 147 patients with BAVM (58.8% male; mean age +/- SD at treatment: 27.5 +/- 11.1 years) treated with endovascular embolization. One hundred and forty-four NBCA and 76 ONYX embolizations were performed. Complete obliteration of BAVMs was achieved in 29 patients (19.7%). Thirty-two (21.8%) patients were treated with additional Gamma-knife radiosurgery. During 499.5 years of follow-up, 15 partially treated patients suffered a further hemorrhage, which caused four deaths. The crude annual risk of hemorrhage was 3.0% and the annual death rate was 0.8%. Among partially treated patients with hemorrhage at initial presentation, the risk of hemorrhage was 3.8%, while the risk of hemorrhage for patients without hemorrhage at initial presentation was 2.5%. The annual rate of subsequent hemorrhage was 2.6% for non-ICH and 4.2% for ICH in the partial NBCA embolization group compared with 2.4% for non-ICH and 2.4% for ICH in the partial ONYX embolization group. Conclusions: The effect of partial AVM embolization with liquid embolic agents may still be unclear as for risk reduction of annual hemorrhage rate of cerebral AVM.
第一作者机构:[1]Beijing Neurosurg Inst, Intervent Neuroradiol Dept, Beijing 100050, Peoples R China;[2]Capital Med Univ, Beijing Tiantan Hosp, Beijing, Peoples R China;[3]Beijing Neurosurg Inst, Intervent Neuroradiol Dept, 6 Tiantan Xili, Beijing 100050, Peoples R China
通讯作者:
通讯机构:[1]Beijing Neurosurg Inst, Intervent Neuroradiol Dept, Beijing 100050, Peoples R China;[2]Capital Med Univ, Beijing Tiantan Hosp, Beijing, Peoples R China;[3]Beijing Neurosurg Inst, Intervent Neuroradiol Dept, 6 Tiantan Xili, Beijing 100050, Peoples R China
推荐引用方式(GB/T 7714):
Lv Xianli,Wu Zhongxue,Li Youxiang,et al.Hemorrhage risk after partial endovascular NBCA and ONYX embolization for brain arteriovenous malformation[J].NEUROLOGICAL RESEARCH.2012,34(6):552-556.doi:10.1179/1743132812Y.0000000044.
APA:
Lv, Xianli,Wu, Zhongxue,Li, Youxiang,Yang, Xinjian&Jiang, Chuhan.(2012).Hemorrhage risk after partial endovascular NBCA and ONYX embolization for brain arteriovenous malformation.NEUROLOGICAL RESEARCH,34,(6)
MLA:
Lv, Xianli,et al."Hemorrhage risk after partial endovascular NBCA and ONYX embolization for brain arteriovenous malformation".NEUROLOGICAL RESEARCH 34..6(2012):552-556