“Loop-like formation” in the cortical venous reflux of dural arteriovenous fistula with intracranial hemorrhage - 25/11/14
, Nobuyuki Sakai, Hidemitsu Adachi, Yasushi Ueno, Takeharu Kunieda, Hirotoshi Imamura, Haruhiko KikuchiBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 6 |
| Iconographies | 2 |
| Vidéos | 0 |
| Autres | 0 |
Summary |
Background and purpose |
Cortical venous reflux (CVR) in dural arteriovenous fistulas (AVFs) is a well-known risk factor for intracranial hemorrhage. However, the impact of the angiographic characteristics of CVR on the risk of intracranial hemorrhage remains unclear. This study retrospectively reviewed the angioarchitectural features of CVR to assess their influence on the risk of intracranial hemorrhage in dural AVFs.
Patients and methods |
We retrospectively evaluated 68 consecutive patients with dural AVFs treated at our hospital between September 2001 and February 2010. In all cases, the angioarchitectural features of CVR were analyzed using cerebral angiography with a special focus on the venous drainage pattern of dural AVFs. “Loop-like formation” was defined as at least one CVR forming a curvature and connection adjacent to the original arteriovenous shunt point.
Results |
Ten dural AVF patients (14.7%) presented with intracranial hemorrhage. All ten dural AVFs with intracranial hemorrhage showed CVR with a “loop-like formation” on angiography. This association was found to be statistically significant (P<0.0001).
Conclusion |
“Loop-like formation” in CVR may be a risk factor for intracranial hemorrhage resulting from dural AVF. This angioarchitectural feature of venous drainage may be a useful prognostic indicator, and hence should be a point of focus during treatment decisions.
Le texte complet de cet article est disponible en PDF.Keywords : Dural arteriovenous fistula, Cerebral hemorrhage, Cortical venous reflux, Venous hypertension
Plan
Vol 41 - N° 5
P. 316-321 - décembre 2014 Retour au numéro
Article précédent
- Defining acute ischemic stroke tissue pathophysiology with whole brain CT perfusion
- A. Bivard, C. Levi, V. Krishnamurthy, J. Hislop-Jambrich, P. Salazar, B. Jackson, S. Davis, M. Parsons
- Stent-assisted coiling of unruptured intracranial aneurysms: Long-term follow-up in 164 patients with 183 aneurysms
- Benjamin Mine, Ali Aljishi, Jean-Bernard D’Harcour, Denis Brisbois, Laurent Collignon, Boris Lubicz
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?