Cerebral arteriovenous malformations: factors influencing the surgical difficulty and outcome
Autor: | Hideyuki Yamashita, Keiichi Kuwamura, Satoshi Matsumoto, Kazumasa Ehara, Tin-kai Lin, Yoshiro Obora, Yasuhisa Kanazawa, Norihiko Tamaki |
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Rok vydání: | 1991 |
Předmět: |
Adult
Intracranial Arteriovenous Malformations Male medicine.medical_specialty Adolescent Preoperative care Preoperative level Patient age medicine Humans Radiation treatment planning Child Survival rate Aged business.industry Infant Arteriovenous malformation Middle Aged medicine.disease Surgery Cerebral arteriovenous malformations Cerebral Angiography medicine.anatomical_structure Child Preschool Female Neurology (clinical) business Artery |
Zdroj: | Neurosurgery. 29(6) |
ISSN: | 0148-396X |
Popis: | The outcomes of 151 patients with arteriovenous malformations (AVMs) treated either surgically or conservatively are presented. In terms of long-term survival rate and follow-up results, the patients who underwent total excision had more favorable results than did those treated conservatively. Patient age was the most important clinical factors, with the preoperative level of consciousness being the second most important. A grading system was formulated on the basis of the angiographical factors by using multiregression analysis; the size of the AVM influenced the surgical outcome twice as much as did the location and the pattern of arterial feeding. Thus, a large AVM (≥4 cm) was given 2 points; a small AVM ( |
Databáze: | OpenAIRE |
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