[Endovascular treatment of aneurysms associated with cerebral arteriovenous malformations].
1/5 보강
PICO 자동 추출 (휴리스틱, conf 3/4)
유사 논문P · Population 대상 환자/모집단
120 patients with AVM-associated aneurysms.
I · Intervention 중재 / 시술
1992 endovascular procedures between 2010 and 2019
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
Treatment of proximal AVM-associated aneurysms should be carried out prior to AVM embolization. Distal aneurysms do not regress after definitive AVM treatment and should be operated on after total AVM embolization.
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[UNLABELLED] There are proximal, distal and intranidal AVM-associated aneurysms (G.
APA
Rozhchenko LV, Petrov AE, et al. (2022). [Endovascular treatment of aneurysms associated with cerebral arteriovenous malformations].. Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko, 86(2), 25-35. https://doi.org/10.17116/neiro20228602125
MLA
Rozhchenko LV, et al.. "[Endovascular treatment of aneurysms associated with cerebral arteriovenous malformations].." Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko, vol. 86, no. 2, 2022, pp. 25-35.
PMID
35412710 ↗
Abstract 한글 요약
[UNLABELLED] There are proximal, distal and intranidal AVM-associated aneurysms (G. Redekop, 1998).
[OBJECTIVE] To evaluate treatment outcomes in 120 patients with AVM-associated aneurysms.
[MATERIAL AND METHODS] We analyzed treatment outcomes in 639 patients with cerebral AVM who underwent 1992 endovascular procedures between 2010 and 2019. AVM-associated aneurysms were found in 120 (18.8%) cases: 81 (67.5%) patients with 69 proximal and 29 distal aneurysms, 33 (27.5%) AVMs with intranidal aneurysms and 6 (5%) aneurysms without hemodynamic connection with AVM. One hundred and one malformations (16.9%) out of 596 supratentorial AVMs and 19 (44.2%) out of 43 subtentorial AVMs were associated with aneurysms.
[RESULTS] Intracranial hemorrhage occurred in 349 (53.3%) out of 639 patients with AVM: 97 (80.8%) out of 120 patients with AVM-associated aneurysms and 252 (48.6%) out of 519 ones with AVM and no aneurysms. All 33 patients with intranidal aneurysms in the AVM structure and 18 (94.7%) out of 19 patients with AVM-associated aneurysms and AVM in posterior cranial fossa had intracranial hemorrhage. There were 98 aneurysms in 81 patients with AVM-associated aneurysms. Eighty-nine (90.8%) ones underwent endovascular treatment, 6 (6.1%) patients with proximal aneurysms required microsurgery. Three distal aneurysms were not repaired. Thirty-four aneurysms were embolized with spirals. Embolization with spirals and balloon assistance was performed for 41 aneurysms, spirals with stent-assistance - for 9 aneurysms (including 1 distal MCA aneurysm in hemorrhagic period). Implantation of a flow-diverting stent was performed for 5 aneurysms (1 distal and 4 proximal aneurysms). There were 8 (8.9%) complications after embolization of 89 AVM-associated aneurysms (5 thromboembolic and 3 hemorrhagic events).
[CONCLUSION] According to our data, intranidal aneurysms require exclusion of the parent AVM segment due to high risk of hemorrhage. Treatment of proximal AVM-associated aneurysms should be carried out prior to AVM embolization. Distal aneurysms do not regress after definitive AVM treatment and should be operated on after total AVM embolization.
[OBJECTIVE] To evaluate treatment outcomes in 120 patients with AVM-associated aneurysms.
[MATERIAL AND METHODS] We analyzed treatment outcomes in 639 patients with cerebral AVM who underwent 1992 endovascular procedures between 2010 and 2019. AVM-associated aneurysms were found in 120 (18.8%) cases: 81 (67.5%) patients with 69 proximal and 29 distal aneurysms, 33 (27.5%) AVMs with intranidal aneurysms and 6 (5%) aneurysms without hemodynamic connection with AVM. One hundred and one malformations (16.9%) out of 596 supratentorial AVMs and 19 (44.2%) out of 43 subtentorial AVMs were associated with aneurysms.
[RESULTS] Intracranial hemorrhage occurred in 349 (53.3%) out of 639 patients with AVM: 97 (80.8%) out of 120 patients with AVM-associated aneurysms and 252 (48.6%) out of 519 ones with AVM and no aneurysms. All 33 patients with intranidal aneurysms in the AVM structure and 18 (94.7%) out of 19 patients with AVM-associated aneurysms and AVM in posterior cranial fossa had intracranial hemorrhage. There were 98 aneurysms in 81 patients with AVM-associated aneurysms. Eighty-nine (90.8%) ones underwent endovascular treatment, 6 (6.1%) patients with proximal aneurysms required microsurgery. Three distal aneurysms were not repaired. Thirty-four aneurysms were embolized with spirals. Embolization with spirals and balloon assistance was performed for 41 aneurysms, spirals with stent-assistance - for 9 aneurysms (including 1 distal MCA aneurysm in hemorrhagic period). Implantation of a flow-diverting stent was performed for 5 aneurysms (1 distal and 4 proximal aneurysms). There were 8 (8.9%) complications after embolization of 89 AVM-associated aneurysms (5 thromboembolic and 3 hemorrhagic events).
[CONCLUSION] According to our data, intranidal aneurysms require exclusion of the parent AVM segment due to high risk of hemorrhage. Treatment of proximal AVM-associated aneurysms should be carried out prior to AVM embolization. Distal aneurysms do not regress after definitive AVM treatment and should be operated on after total AVM embolization.
추출된 의학 개체 (NER)
시술
미세수술
해부
Endovascular
전체 NER 표 보기
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | microsurgery
|
미세수술 | dict | 1 | |
| 해부 | Endovascular
|
scispacy | 1 | ||
| 합병증 | aneurysms
|
scispacy | 1 | ||
| 합병증 | cerebral arteriovenous malformations
|
scispacy | 1 | ||
| 합병증 | cerebral AVM
|
scispacy | 1 | ||
| 합병증 | AVMs
|
scispacy | 1 | ||
| 합병증 | AVM
|
scispacy | 1 | ||
| 합병증 | intranidal aneurysms
|
scispacy | 1 | ||
| 합병증 | intracranial
|
scispacy | 1 | ||
| 약물 | MCA aneurysm
|
scispacy | 1 | ||
| 약물 | [MATERIAL AND
|
scispacy | 1 | ||
| 질환 | aneurysms
|
C0002940
Aneurysm
|
scispacy | 1 | |
| 질환 | cerebral arteriovenous malformations
|
C0917804
Arteriovenous Malformations, Cerebral
|
scispacy | 1 | |
| 질환 | AVM-associated aneurysms
|
scispacy | 1 | ||
| 질환 | cerebral AVM
|
scispacy | 1 | ||
| 질환 | AVM
|
C0003857
Congenital arteriovenous malformation
|
scispacy | 1 | |
| 질환 | Intracranial hemorrhage
|
C0151699
Intracranial Hemorrhage
|
scispacy | 1 | |
| 질환 | proximal aneurysms
|
scispacy | 1 | ||
| 질환 | hemorrhagic
|
C0333275
Hemorrhagic
|
scispacy | 1 | |
| 질환 | thromboembolic
|
C0333214
thromboembolic
|
scispacy | 1 | |
| 질환 | hemorrhage
|
C0019080
Hemorrhage
|
scispacy | 1 | |
| 질환 | Distal aneurysms
|
scispacy | 1 | ||
| 질환 | subtentorial AVMs
|
scispacy | 1 | ||
| 기타 | AVM
|
scispacy | 1 | ||
| 기타 | posterior cranial fossa
|
scispacy | 1 | ||
| 기타 | MCA
|
scispacy | 1 |
🏷️ 키워드 / MeSH 📖 같은 키워드 OA만
함께 등장하는 도메인
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