Efficacy of Hybrid Sleeve-Assisted Surgery for Spinal Dural Arteriovenous Fistula.
Abstract
[BACKGROUND] This study aimed to evaluate the efficacy of hybrid surgery combined with the sleeve technique in treating spinal dural arteriovenous fistula (SDAVF).
[METHODS] A retrospective analysis was conducted on the clinical data of 16 patients with SDAVF who underwent hybrid surgery between October 2020 and June 2024. Spinal-cord function was quantitatively assessed preoperatively and postoperatively using the modified Aminoff-Logue Scale. Postoperative follow-up was 1-36 months. A decrease in the Aminoff-Logue Scale score indicated functional improvement, whereas an increase indicated deterioration.
[RESULTS] Intraoperative spinal digital subtraction angiography results confirmed the complete disappearance of the fistulas in all the 16 cases. Thirteen patients (81%) exhibited improved spinal-cord function, whereas 3 patients showed no changes.
[CONCLUSIONS] Hybrid sleeve-assisted surgery integrates the advantages of endovascular interventional therapy and microsurgery, reducing late recurrence and surgical trauma. Consequently, this combined approach represents a valuable, clinically translatable therapeutic modality for the management of SDAVF.
[METHODS] A retrospective analysis was conducted on the clinical data of 16 patients with SDAVF who underwent hybrid surgery between October 2020 and June 2024. Spinal-cord function was quantitatively assessed preoperatively and postoperatively using the modified Aminoff-Logue Scale. Postoperative follow-up was 1-36 months. A decrease in the Aminoff-Logue Scale score indicated functional improvement, whereas an increase indicated deterioration.
[RESULTS] Intraoperative spinal digital subtraction angiography results confirmed the complete disappearance of the fistulas in all the 16 cases. Thirteen patients (81%) exhibited improved spinal-cord function, whereas 3 patients showed no changes.
[CONCLUSIONS] Hybrid sleeve-assisted surgery integrates the advantages of endovascular interventional therapy and microsurgery, reducing late recurrence and surgical trauma. Consequently, this combined approach represents a valuable, clinically translatable therapeutic modality for the management of SDAVF.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | microsurgery
|
미세수술 | dict | 1 |
MeSH Terms
Humans; Central Nervous System Vascular Malformations; Male; Female; Middle Aged; Retrospective Studies; Treatment Outcome; Aged; Adult; Endovascular Procedures; Neurosurgical Procedures; Microsurgery; Spinal Cord; Angiography, Digital Subtraction
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