Cited 0 times in
Results of Transvenous Embolization of Cavernous Dural Arteriovenous Fistula: A Single-Center Experience with Emphasis on Complications and Management
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 정태섭 | - |
dc.contributor.author | 김진아 | - |
dc.contributor.author | 이승구 | - |
dc.contributor.author | 김동익 | - |
dc.contributor.author | 김동준 | - |
dc.contributor.author | 김응엽 | - |
dc.date.accessioned | 2015-06-10T12:03:45Z | - |
dc.date.available | 2015-06-10T12:03:45Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 0195-6108 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/109121 | - |
dc.description.abstract | BACKGROUND AND PURPOSE: To describe the results of transvenous embolizations of cavernous dural arteriovenous fistua (cDAVF) with an emphasis on identifying the incidence, characteristics, and management strategies associated with the complications of transvenous embolization of cDAVFs. METHODS: Fifty-six consecutive patients who were treated by transvenous embolization for cDAVFs were reviewed. The approach routes, angiographic results, complications, and clinical outcome were assessed. RESULTS: Retrograde inferior petrosal sinus (n = 36), transfacial vein (n = 7), transcontralateral intercavernous sinus (n = 4), and direct superior ophthalmic vein (n = 3) approaches were used. Angiographic results showed complete occlusion (n = 29), nearly complete occlusion (n = 13), and incomplete occlusion (n = 14). Complications associated with the procedures were cranial nerve palsy (n = 6), venous perforation (n = 3), and brain stem congestion (n = 2). The cranial nerve signs resolved with conservative treatment. Venous perforations were managed by coil embolizations at the site of the tear with no significant neurologic sequelae. One case of brain stem congestion resulted in hemiplegia after conservative treatment. The other case showed venous congestion as a result of rerouting of the shunted flow after venous embolization that was successfully managed by covered stent deployment for occlusion of the residual feeders. Clinical follow-up data were available in 46 patients. Complete resolution or improvement of symptoms was seen in 42 patients (91%). CONCLUSIONS: Cavernous DAVFs may be effectively treated by transvenous embolization. However, the procedure can be associated with various complications, some of which can potentially result in significant morbidity. Prompt diagnosis of the complications with appropriate management strategies is mandatory for a safe procedure. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 2078~2082 | - |
dc.relation.isPartOf | AMERICAN JOURNAL OF NEURORADIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Central Nervous System Vascular Malformations/therapy* | - |
dc.subject.MESH | Embolization, Therapeutic/adverse effects* | - |
dc.subject.MESH | Embolization, Therapeutic/methods* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.title | Results of Transvenous Embolization of Cavernous Dural Arteriovenous Fistula: A Single-Center Experience with Emphasis on Complications and Management | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | D.J. Kim | - |
dc.contributor.googleauthor | D.I. Kim | - |
dc.contributor.googleauthor | S.H. Suh | - |
dc.contributor.googleauthor | J. Kim | - |
dc.contributor.googleauthor | S.K. Lee | - |
dc.contributor.googleauthor | E.Y. Kim | - |
dc.contributor.googleauthor | T.S. Chung | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01022 | - |
dc.contributor.localId | A03751 | - |
dc.contributor.localId | A02912 | - |
dc.contributor.localId | A00408 | - |
dc.contributor.localId | A00410 | - |
dc.contributor.localId | A00832 | - |
dc.relation.journalcode | J00095 | - |
dc.identifier.eissn | 1936-959X | - |
dc.identifier.pmid | 17110671 | - |
dc.contributor.alternativeName | Chung, Tae Sub | - |
dc.contributor.alternativeName | Kim, Jinna | - |
dc.contributor.alternativeName | Lee, Seung Koo | - |
dc.contributor.alternativeName | Kim, Dong Ik | - |
dc.contributor.alternativeName | Kim, Dong Joon | - |
dc.contributor.alternativeName | Kim, Eung Yeop | - |
dc.contributor.affiliatedAuthor | Kim, Jinna | - |
dc.contributor.affiliatedAuthor | Chung, Tae Sub | - |
dc.contributor.affiliatedAuthor | Lee, Seung Koo | - |
dc.contributor.affiliatedAuthor | Kim, Dong Ik | - |
dc.contributor.affiliatedAuthor | Kim, Dong Joon | - |
dc.contributor.affiliatedAuthor | Kim, Eung Yeop | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 27 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 2078 | - |
dc.citation.endPage | 2082 | - |
dc.identifier.bibliographicCitation | AMERICAN JOURNAL OF NEURORADIOLOGY, Vol.27(10) : 2078-2082, 2006 | - |
dc.identifier.rimsid | 50601 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.