Clinical results after the multidisciplinary treatment of spinal arteriovenous fistulas.
Purpose: We retrospectively evaluated the clinical outcome after multidisciplinary treatment of spinal arteriovenous fistulas (AVFs) in terms of the Aminoff-Logue grading scale (ALS) to depict the outcome in a perspective pertinent to the quality of everyday living.Materials and Methods: Twenty-six...
| Publicado en: | Japanese Journal of Radiology Vol. 31; no. 7; pp. 455 - 465 |
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| Autores principales: | , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Jul2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104082380&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104082380 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18671071 AUCM jtl: Japanese Journal of Radiology issn: 18671071 maglogo: N pubinfo: dt: Jul2013 vid: 31 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104082380 NLM23722329 2012190987 10.1007/s11604-013-0216-6 NLM23722329 104082380 ppf: 455 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Clinical results after the multidisciplinary treatment of spinal arteriovenous fistulas. aug: au: Inagawa, Shoichi Yamashita, Shuhei Hiramatsu, Hisaya Kamiya, Mika Tanaka, Tokutaro Sakahara, Harumi Aoyama, Hidefumi affil: Department of Radiology, Niigata University Medical and Dental Hospital, Asahimachi-dori 1-757, Chuo-ku, Niigata, 951-8510, Japan, sinagawa@med.niigata-u.ac.jp. sug: subj: Angiography Methods Arteriovenous Fistula Radiography Arteriovenous Fistula Therapy Cardiovascular Abnormalities Radiography Cardiovascular Abnormalities Therapy Adult Aged Aged, 80 and Over Embolization, Therapeutic Female Gait Disorders, Neurologic Classification Human Infant Male Middle Age Retrospective Design Treatment Outcomes Adult: 19-44 years Aged: 65+ years Aged, 80 & over Infant: 1-23 months Middle Aged: 45-64 years Female Male ab: Purpose: We retrospectively evaluated the clinical outcome after multidisciplinary treatment of spinal arteriovenous fistulas (AVFs) in terms of the Aminoff-Logue grading scale (ALS) to depict the outcome in a perspective pertinent to the quality of everyday living.Materials and Methods: Twenty-six spinal AVFs in 25 patients were angiographically diagnosed from April 1998 through April 2012 and treated by endovascular embolization or surgery. When both treatment procedures seemed feasible, embolization was undertaken as the initial treatment. Motor and gait disturbance at follow-up was retrospectively graded according to ALS.Results: All lesions were localized at the thoracolumbar or sacral levels and include six epidural AVFs with intradural venous reflux, 14 dural AVFs, and six perimedullary AVFs. Embolization was performed as the initial treatment for 17 lesions, while open surgery was performed for the others as well as for residual or recurrent lesions after embolization. All lesions were completely occluded except three perimedullary AVFs. At clinical follow-up of 1-153 months (mean 53.3), amelioration of gait disturbance with reduction of ALS scores was noted for 13 lesions and amelioration of micturition for 13 lesions as well.Conclusion: Clinical functional status was improved for half of the lesions after the multidisciplinary treatment. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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