Treatment strategy to maximize the treatment outcome of spinal dural arteriovenous fistula after initial endovascular embolization attempt at diagnostic angiography

Abstract Initial attempt of endovascular treatment (EVT) for spinal dural arteriovenous fistula (SDAVF) is preferred because of concurrent diagnosis and treatment. However, outcomes following further treatment with initial EVT are not well studied. We retrospectively reviewed 71 patients with SDAVF...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Heui Seung Lee, Hyun-Seung Kang, Sung Min Kim, Chi Heon Kim, Seung Heon Yang, Moon Hee Han, Chun Kee Chung
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8ff8ef5c80a046eaa202554a804d8a04
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:8ff8ef5c80a046eaa202554a804d8a04
record_format	dspace
spelling	oai:doaj.org-article:8ff8ef5c80a046eaa202554a804d8a042021-12-02T14:35:39ZTreatment strategy to maximize the treatment outcome of spinal dural arteriovenous fistula after initial endovascular embolization attempt at diagnostic angiography10.1038/s41598-021-89407-w2045-2322https://doaj.org/article/8ff8ef5c80a046eaa202554a804d8a042021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89407-whttps://doaj.org/toc/2045-2322Abstract Initial attempt of endovascular treatment (EVT) for spinal dural arteriovenous fistula (SDAVF) is preferred because of concurrent diagnosis and treatment. However, outcomes following further treatment with initial EVT are not well studied. We retrospectively reviewed 71 patients with SDAVF to evaluate treatment outcomes of SDAVF after an initial EVT attempt. Pretreatment and posttreatment functional states were assessed by the Aminoff-Logue scale (ALS). In the case of incomplete occlusion or recurrence, overall outcomes after further treatments were compared. Of the 71 patients, 56 underwent initial EVT. Complete occlusion was achieved by initial EVT in 37 of 56 patients (66.1%). Multiple feeders were more frequently observed in patients with incomplete occlusion than complete occlusion after initial EVT (73.7% vs. 27%, P < 0.001). Among 19 patients with incomplete occlusion upon initial EVT, 14 underwent additional surgery, 13 of whom (92.9%) obtained improved or stationary functional outcomes. Functional improvement was not observed in patients who had repeated EVT or follow-up without further treatment. Recurrence was observed in 8 of 37 patients with complete occlusion upon initial EVT. Additional surgery achieved improved functional outcomes in cases of incomplete occlusion of SDAVF after the initial EVT attempt or recurrence rather than repeated EVT or follow-up.Heui Seung LeeHyun-Seung KangSung Min KimChi Heon KimSeung Heon YangMoon Hee HanChun Kee ChungNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Heui Seung Lee Hyun-Seung Kang Sung Min Kim Chi Heon Kim Seung Heon Yang Moon Hee Han Chun Kee Chung Treatment strategy to maximize the treatment outcome of spinal dural arteriovenous fistula after initial endovascular embolization attempt at diagnostic angiography
description	Abstract Initial attempt of endovascular treatment (EVT) for spinal dural arteriovenous fistula (SDAVF) is preferred because of concurrent diagnosis and treatment. However, outcomes following further treatment with initial EVT are not well studied. We retrospectively reviewed 71 patients with SDAVF to evaluate treatment outcomes of SDAVF after an initial EVT attempt. Pretreatment and posttreatment functional states were assessed by the Aminoff-Logue scale (ALS). In the case of incomplete occlusion or recurrence, overall outcomes after further treatments were compared. Of the 71 patients, 56 underwent initial EVT. Complete occlusion was achieved by initial EVT in 37 of 56 patients (66.1%). Multiple feeders were more frequently observed in patients with incomplete occlusion than complete occlusion after initial EVT (73.7% vs. 27%, P < 0.001). Among 19 patients with incomplete occlusion upon initial EVT, 14 underwent additional surgery, 13 of whom (92.9%) obtained improved or stationary functional outcomes. Functional improvement was not observed in patients who had repeated EVT or follow-up without further treatment. Recurrence was observed in 8 of 37 patients with complete occlusion upon initial EVT. Additional surgery achieved improved functional outcomes in cases of incomplete occlusion of SDAVF after the initial EVT attempt or recurrence rather than repeated EVT or follow-up.
format	article
author	Heui Seung Lee Hyun-Seung Kang Sung Min Kim Chi Heon Kim Seung Heon Yang Moon Hee Han Chun Kee Chung
author_facet	Heui Seung Lee Hyun-Seung Kang Sung Min Kim Chi Heon Kim Seung Heon Yang Moon Hee Han Chun Kee Chung
author_sort	Heui Seung Lee
title	Treatment strategy to maximize the treatment outcome of spinal dural arteriovenous fistula after initial endovascular embolization attempt at diagnostic angiography
title_short	Treatment strategy to maximize the treatment outcome of spinal dural arteriovenous fistula after initial endovascular embolization attempt at diagnostic angiography
title_full	Treatment strategy to maximize the treatment outcome of spinal dural arteriovenous fistula after initial endovascular embolization attempt at diagnostic angiography
title_fullStr	Treatment strategy to maximize the treatment outcome of spinal dural arteriovenous fistula after initial endovascular embolization attempt at diagnostic angiography
title_full_unstemmed	Treatment strategy to maximize the treatment outcome of spinal dural arteriovenous fistula after initial endovascular embolization attempt at diagnostic angiography
title_sort	treatment strategy to maximize the treatment outcome of spinal dural arteriovenous fistula after initial endovascular embolization attempt at diagnostic angiography
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/8ff8ef5c80a046eaa202554a804d8a04
work_keys_str_mv	AT heuiseunglee treatmentstrategytomaximizethetreatmentoutcomeofspinalduralarteriovenousfistulaafterinitialendovascularembolizationattemptatdiagnosticangiography AT hyunseungkang treatmentstrategytomaximizethetreatmentoutcomeofspinalduralarteriovenousfistulaafterinitialendovascularembolizationattemptatdiagnosticangiography AT sungminkim treatmentstrategytomaximizethetreatmentoutcomeofspinalduralarteriovenousfistulaafterinitialendovascularembolizationattemptatdiagnosticangiography AT chiheonkim treatmentstrategytomaximizethetreatmentoutcomeofspinalduralarteriovenousfistulaafterinitialendovascularembolizationattemptatdiagnosticangiography AT seungheonyang treatmentstrategytomaximizethetreatmentoutcomeofspinalduralarteriovenousfistulaafterinitialendovascularembolizationattemptatdiagnosticangiography AT moonheehan treatmentstrategytomaximizethetreatmentoutcomeofspinalduralarteriovenousfistulaafterinitialendovascularembolizationattemptatdiagnosticangiography AT chunkeechung treatmentstrategytomaximizethetreatmentoutcomeofspinalduralarteriovenousfistulaafterinitialendovascularembolizationattemptatdiagnosticangiography
_version_	1718391085065043968

Treatment strategy to maximize the treatment outcome of spinal dural arteriovenous fistula after initial endovascular embolization attempt at diagnostic angiography

Ejemplares similares