Role of endovascular embolisation for curative treatment of intracranial non- Galenic pial arteriovenous fistula

作     者：Hengwei Jin Xiangyu Meng Jiale Quan Yi Lu Youxiang Li 

作者机构：Department of Interventional NeuroradiologyBeijing Tiantan HospitalBeijingChina Interventional Neuroradiology departmentBeijing Neurosurgical InstituteBeijingChina Pediatric departmentDongming People’s HospitalBeijingChina Department of Interventional NeuroradiologyBeijing Neurosurgical InstituteBeijingChina 

出 版 物：《Stroke & Vascular Neurology》 (卒中与血管神经病学（英文）)

年 卷 期：2021年第6卷第2期

页      面：260-266页

核心收录：

学科分类：1002[医学-临床医学] 100204[医学-神经病学] 10[医学] 

基　　金：supported by the National Key Research and Development Program of China(Grant No.2017YFB1304400) 

主　　题：curative fistula treatment 

摘      要：Background and purpose The safety and effectiveness of endovascular treatment for non-Galenic pial arteriovenous fistula(NGPAVF)is inadequately *** aim of this study is to explore the role of endovascular embolisation for curative treatment of *** and methods Patients with NGPAVF underwent endovascular treatment from January 2011 to November 2019 in our institution were retrospectively ***,clinical information,treatment details and clinical outcomes were *** associated with clinical outcomes were statistically *** Twenty patients were included,with a total of 22(2 patients have 2 fistulas)lesions.A total of 25 procedures were performed and 5 patients underwent 2 ***-up ranged from 3 to 84 months(mean=34.5 months).Thirteen(59.1%)lesions in 12(60.0%)patients acquired immediate occlusion after initial treatment(immediately occluded group)and follow-up confirmed the complete obliteration.A total of 17(77.3%)lesions in 15(75.0%)patients were cured at last *** maximal diameter of feeding arteries(p=0.04)and the maximal diameter of the varix(p=0.01)in immediately occluded group was smaller than non-immediately occluded *** number of feeding artery(p=0.004)and the maximal diameter of the varix(p0.001)were much smaller in curative group than non-curative *** patients suffered procedure-related *** patients had an increased Modified Rankin Scale(mRS)and all patients had favourable clinical outcome(mRS≥2)at last *** Endovascular therapy plays an important role in curative treatment of *** with less feeding arteries and small varix may be easier to be cured by endovascular embolisation.