Stereotactic Radiosurgery with Neoadjuvant Embolization of Larger Arteriovenous Malformations : An Institutional Experience
المؤلفون المشاركون
Starke, Robert M.
Jabbour, Pascal M.
Dalyai, Richard Tyler
Gordon, David S.
Rosenwasser, Robert H.
Gonzalez, L. Fernando
Chalouhi, Nohra
Tjoumakaris, Stavropoula I.
Ghobrial, George
Theofanis, Thana
Dumont, Aaron S.
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-01-22
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Objective.
This study investigates the safety and efficacy of a multimodality approach combining staged endovascular embolizations with subsequent SRS for the management of larger AVMs.
Methods.
Ninety-five patients with larger AVMs were treated with staged endovascular embolization followed by SRS between 1996 and 2011.
Results.
The median volume of AVM in this series was 28 cm3 and 47 patients (48%) were Spetzler-Martin grade IV or V.
Twenty-seven patients initially presented with hemorrhage.
Sixty-one patients underwent multiple embolizations while a single SRS session was performed in 64 patients.
The median follow-up after SRS session was 32 months (range 9–136 months).
Overall procedural complications occurred in 14 patients.
There were 13 minor neurologic complications and 1 major complication (due to embolization) while four patients had posttreatment hemorrhage.
Thirty-eight patients (40%) were cured radiographically.
The postradiosurgery actuarial rate of obliteration was 45% at 5 years, 56% at 7 years, and 63% at 10 years.
In multivariate analysis, larger AVM size, deep venous drainage, and the increasing number of embolization/SRS sessions were negative predictors of obliteration.
The number of embolizations correlated positively with the number of stereotactic radiosurgeries (P<0.005).
Conclusions.
Multimodality endovascular and radiosurgical approach is an efficacious treatment strategy for large AVM.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Dalyai, Richard Tyler& Theofanis, Thana& Starke, Robert M.& Chalouhi, Nohra& Ghobrial, George& Jabbour, Pascal M.…[et al.]. 2014. Stereotactic Radiosurgery with Neoadjuvant Embolization of Larger Arteriovenous Malformations : An Institutional Experience. BioMed Research International،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-462062
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Dalyai, Richard Tyler…[et al.]. Stereotactic Radiosurgery with Neoadjuvant Embolization of Larger Arteriovenous Malformations : An Institutional Experience. BioMed Research International No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-462062
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Dalyai, Richard Tyler& Theofanis, Thana& Starke, Robert M.& Chalouhi, Nohra& Ghobrial, George& Jabbour, Pascal M.…[et al.]. Stereotactic Radiosurgery with Neoadjuvant Embolization of Larger Arteriovenous Malformations : An Institutional Experience. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-462062
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-462062
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر