کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3058985 1187418 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surgical management of spinal dural arteriovenous fistulas
ترجمه فارسی عنوان
مدیریت جراحی فیستول عروق کرونر قلب
کلمات کلیدی
فیستول عروق کرونر قلب اسپاستیک، ناهنجاری های عروق کرونر، ستون فقرات
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی

Spinal dural arteriovenous fistulas are the most common type of spinal arteriovenous malformations. Treatment options consist of microsurgical exclusion and/or endovascular embolization. We retrospectively identified all patients who benefited from surgical treatment at our tertiary center between January 2001 and December 2008. Clinical and imaging data were collected from patient files, including pre- and post-operative formal neurological examination, complete spine MRI and spinal digital subtraction angiography. Of our 30 patients, 25 were men and five were women with a median age of 62 years (range 24–76). The average delay between symptom onset and clinical diagnosis was 27 months (range 1–90). Complete cure of the fistula was obtained in all patients in a single surgical session with no procedural complications and no surgical morbidity. After a mean follow-up period of 32 months (range 14–128), 25 patients (83%) had improved, four were stable and one worsened. Despite recent advances in endovascular techniques and materials, there is a subgroup of patients for which surgery remains the best treatment option. Careful patient selection, a multidisciplinary approach and standardized surgical techniques can lead to excellent results with virtually no complications.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Neuroscience - Volume 22, Issue 1, January 2015, Pages 180–183
نویسندگان
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